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 Disorders — Li X, Zeng Z, Yang X, et al. | September 17, 2021
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.