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June 6, 2026Herz

Relationship between HAVOC score and new-onset atrial fibrillation in patients with ST elevation myocardial infarction

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Why the study?

The predictive value of the HAVOC score, originally developed for cryptogenic stroke or transient ischemic attack, had not been evaluated for new-onset AF in patients with STEMI.

Does the HAVOC score predict new-onset atrial fibrillation in patients with ST elevation myocardial infarction?

Population

1640 patients with STEMI undergoing primary PCI

Comparison

Patients with vs without new-onset AF

Design

Retrospective cohort study

Key result

A high HAVOC score was an independent predictor of new-onset atrial fibrillation in patients with STEMI (OR 1.078; 95% CI 1.022-1.258; p=0.001).

Authors

EBEmrah BayamMKMacit KalçıkEYErsin Yıldırım

Discussion

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Member takes

Overview

May support HAVOC for NOAF risk stratification in STEMI; hypothesis-generating and requires prospective validation before clinical adoption.

Key Points

  • This study aims to evaluate the usefulness of the HAVOC score in predicting new-onset atrial fibrillation in patients with ST-segment elevation myocardial infarction.
  • Retrospective analysis of 1640 STEMI patients between August 2019 and December 2024.
  • Patients monitored for electrocardiographic changes and echocardiographic evaluation post-intervention.
  • Comparison of clinical characteristics between patients with and without new-onset atrial fibrillation.
  • New-onset atrial fibrillation observed in 115 patients (7%).
  • Higher HAVOC score identified as an independent predictor of new-onset atrial fibrillation (OR = 1.078; 95% CI: 1.022–1.258; p = 0.001).
  • Patients with new-onset atrial fibrillation had lower left ventricular ejection fraction (38.2% vs. 47.9%, p < 0.001).

Study Design

Type

Cohort (n=1,640)

Structured PICO

Does the HAVOC score predict new-onset atrial fibrillation in patients with ST elevation myocardial infarction?

P
Population
1,640 patients with STEMI (mean age 56.3 years, 30.9% female) who underwent primary percutaneous coronary intervention, retrospectively analyzed between 2019 and 2024.
E
Exposure
HAVOC score assessment
O
Outcome
New-onset atrial fibrillation (NOAF)

Main Result

Odds Ratio: 1.078 (95% CI 1.022–1.258)

p-value: p=0.001

The HAVOC score is an independent predictor of new-onset atrial fibrillation in patients presenting with STEMI.

Cite This Study

Bayam et al. (2026) conducted a cohort in ST-segment elevation myocardial infarction (STEMI) (n=1,640). HAVOC score was evaluated on New-onset atrial fibrillation (NOAF) (OR 1.078, 95% CI 1.022-1.258, p=0.001). A high HAVOC score was an independent predictor of new-onset atrial fibrillation in patients with STEMI (OR 1.078; 95% CI 1.022-1.258; p=0.001).

synapsesocial.com/papers/6a23bfa271a5da9775e77ce1https://doi.org/10.1007/s00059-026-05381-x
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