CHADS2 Score Predicts Postoperative Atrial Fibrillation in Patients Undergoing Elective Pulmonary Lobectomy  Svetlana Kotova, MD, Mansen Wang, PhD, Katie.

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Presentation transcript:

CHADS2 Score Predicts Postoperative Atrial Fibrillation in Patients Undergoing Elective Pulmonary Lobectomy  Svetlana Kotova, MD, Mansen Wang, PhD, Katie Lothrop, BA, Gary Grunkemeier, PhD, Heather E. Merry, MD, John R. Handy, MD  The Annals of Thoracic Surgery  Volume 103, Issue 5, Pages 1566-1572 (May 2017) DOI: 10.1016/j.athoracsur.2016.11.007 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Distribution of patients in the postoperative atrial fibrillation (PAF) and no PAF groups based on CHADS2 (history of congestive heart failure, history of hypertension, age >75 years, history of diabetes mellitus, history of stroke or transient ischemic symptoms). The Annals of Thoracic Surgery 2017 103, 1566-1572DOI: (10.1016/j.athoracsur.2016.11.007) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Observed incidence of postoperative atrial fibrillation (PAF) in patients based on CHADS2 (history of congestive heart failure, history of hypertension, age >75 years, history of diabetes mellitus, history of stroke or transient ischemic symptoms) score. Low risk is score 0, moderate risk is score 1; and high risk is score 2 or greater. Horizontal line marks 12%, which is the rate of PAF in the entire patient group. All show statistically significant difference, p = 0.0011. The Annals of Thoracic Surgery 2017 103, 1566-1572DOI: (10.1016/j.athoracsur.2016.11.007) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Cross table CHADS2 (history of congestive heart failure, history of hypertension, age >75 years, history of diabetes mellitus, history of stroke or transient ischemic symptoms) and CHA2DS2-VASc (age in years, sex, history of congestive heart failure, history of hypertension, history of stroke/transient ischemic symptoms/thromboembolic events, history of vascular disease, history of diabetes mellitus) scores. The table displays similar trends between the two scoring methods and shows some scores increase (highlighted in yellow) when CHA2DS2-VASc is compared with CHADS2. The Annals of Thoracic Surgery 2017 103, 1566-1572DOI: (10.1016/j.athoracsur.2016.11.007) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions