Key result
An elevated HATCH score was an independent risk predictor for new-onset atrial fibrillation (OR 1.66) after percutaneous coronary intervention in STEMI patients.
Why the study?
In patients with STEMI, the relationship between the HATCH score and new-onset atrial fibrillation after PCI remained unclear.
Does the HATCH score predict new-onset atrial fibrillation in STEMI patients undergoing primary PCI?
Observational (n=774)
No
Does the HATCH score predict new-onset atrial fibrillation in STEMI patients undergoing primary PCI?
Odds Ratio: 1.66 (95% CI 1.41–1.95)
p-value: p=<0.001
The HATCH score is a significant and independent predictor of new-onset atrial fibrillation in STEMI patients following primary PCI, demonstrating a linear dose-response relationship.
May aid post-PCI AF risk stratification in STEMI; extends HATCH data but leaves open prospective validation.
BACKGROUND: The HATCH score, a new atrial fibrillation (AF) risk model, has drawn wide attention. However, in patients with ST-segment elevation myocardial infarction (STEMI), the relationship between the HATCH score and NOAF remains unclear. This study aimed to assess the association between HATCH score and new-onset AF (NOAF) after percutaneous coronary intervention (PCI) in STEMI patients. METHODS: This single-center retrospective observation consecutively selected patients diagnosed with STEMI who underwent primary PCI. All patients received continuous electrocardiogram monitoring during hospitalization (≥ 36 h). HATCH score was calculated based on hypertension (1 point), age > 75 years (1 point), stroke or TIA (2 point), COPD (1 point), and HF (2 point). RESULTS: A total of 774 patients were included in this study, of whom 65.37% were male, with a mean age of 63.53 ± 13.11 years, 73 patients (9.43%) developed NOAF. ROC curve demonstrated that the AUC of the HATCH score was 0.731, the cut - off value was 2.5. Multivariate logistic regression analysis indicated that the HATCH score (OR = 1.66, 95% CI: 1.41-1.95, P < 0.001) or HATCH score ≥ 3 (OR = 4.10, 95% CI: 2.39-7.02, P < 0.001) was an independent risk predictor for NOAF. The RCS analysis revealed a linear correlation between the HATCH score and NOAF (P for overall < 0.001). CONCLUSIONS: Elevated HATCH score is an independent risk factor for the development of NOAF after PCI in STEMI patients. There was a linear dose-response relationship between HATCH score and NOAF.
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Qin et al. (2025) conducted an observational in ST-segment elevation myocardial infarction (STEMI) (n=774). HATCH score vs. Lower HATCH score was evaluated on New-onset atrial fibrillation (NOAF) (OR 1.66, 95% CI 1.41-1.95, p=<0.001). An elevated HATCH score was an independent risk predictor for new-onset atrial fibrillation (OR 1.66) after percutaneous coronary intervention in STEMI patients.
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