Predictive value of CHADS2 and CHA2DS2-VASc scores for coronary artery lesions and in-hospital prognosis of patients with acute ST-segment elevation myocardial infarction

BMC Cardiovascular DisordersLi X, Zeng Z, Yang X, et al. | September 17, 2021

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CHADS2 and CHA2DS2-VASc scores were evaluated for their value in predicting coronary artery lesions and in-hospital prognosis of patients with acute ST-segment elevation myocardial infarction (STEMI).

  • A retrospective review of a total of 524 patients who were diagnosed with STEMI.

  • Mainly single and double coronary lesions were observed in STEMI patients.

  • No prediction of the number of coronary lesions could be made using the CHADS2 and CHA2DS2-VASc scores.

  • However, for the left main coronary artery lesion, significantly increased CHADS2 score was recorded when the number increased.

  • In STEMI patients, the incidence of target lesions was mainly left anterior descending coronary artery (LAD) and right coronary artery (RCA).

  • There was no predictive value of the two scores for target lesions.

  • For the severity of coronary lesions, positive correlation appeared between CHADS2 score with Gensini score, but there was no exact correlation between CHA2DS2-VASc score and Gensini score.

  • The stratifications of CHADS2 score and CHA2DS2-VASc score revealed longer hospitalization time and more AEs during hospitalization in the high score group than the low score group and the middle group.

  • Overall, there is a certain value of CHADS2 score in predicting the severity of coronary lesion and the presence of left main coronary artery.

Read the full article on BMC Cardiovascular Disorders

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