Presentation is loading. Please wait.

Presentation is loading. Please wait.

Clinical utility of CHADS2 and CHA2DS2-VASc scoring systems for predicting postoperative atrial fibrillation after cardiac surgery  Su-Kiat Chua, MD,

Published byTordis Helle Modified over 6 years ago

Similar presentations

Presentation on theme: "Clinical utility of CHADS2 and CHA2DS2-VASc scoring systems for predicting postoperative atrial fibrillation after cardiac surgery  Su-Kiat Chua, MD,"— Presentation transcript:

1 Clinical utility of CHADS2 and CHA2DS2-VASc scoring systems for predicting postoperative atrial fibrillation after cardiac surgery  Su-Kiat Chua, MD, Kou-Gi Shyu, MD, PhD, Ming-Jen Lu, MD, Li-Ming Lien, MD, PhD, Chia-Hsun Lin, MD, Hung-Hsing Chao, MD, PhD, Huey-Ming Lo, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 146, Issue 4, Pages e1 (October 2013) DOI: /j.jtcvs Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Postoperative atrial fibrillation (POAF) rates and scores. The POAF rates continuously increased as the CHADS2 (A) and CHA2DS2-VASc (B) scores increased. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Postoperative atrial fibrillation (POAF)-free rate curves for patients with higher and lower CHADS2 and CHA2DS2-VASc scores. The Kaplan-Meier survival analysis showed that the patients with CHADS2 scores of at least 2 had a higher event rate than did the patients with CHADS2 scores lower than 2 (log-rank, P < .001; A). In addition, a CHA2DS2-VASc score of at least 2 also significantly predicted occurrences of postoperative atrial fibrillation (log-rank, P < .001; B). The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 A, Postoperative atrial fibrillation (POAF) rates in the patients with CHADS2 scores of 0 or 1. Postoperative atrial fibrillation rates progressively increased from 6% to 44% with increasing CHA2DS2-VASc score. B, Flowchart of postoperative atrial fibrillation rates and scores. This flowchart demonstrates the postoperative atrial fibrillation rates in the patients stratified according to CHADS2 and CHA2DS2-VASc scores. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

5 Figure E1 Adjusted odds ratios of CHADS2 or CHA2DS2-VASc scores for predicting postoperative atrial fibrillation after cardiac surgery. The patients with increased CHADS2 or CHA2DS2-VASc scores face a progressively increasing risk of postoperative atrial fibrillation with each subsequent increment in score. The odds ratio is defined as the likelihood of postoperative atrial fibrillation after cardiac surgery compared with scores of 0. *P < .05 compared with CHADS2 score of 0. †P < .05 compared with CHA2DS2-VASc score of 0. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Download ppt "Clinical utility of CHADS2 and CHA2DS2-VASc scoring systems for predicting postoperative atrial fibrillation after cardiac surgery  Su-Kiat Chua, MD,"

Similar presentations

Previous coronary stents do not increase early and long-term adverse outcomes in patients undergoing off-pump coronary artery bypass grafting: A propensity-matched.

Previous coronary stents do not increase early and long-term adverse outcomes in patients undergoing off-pump coronary artery bypass grafting: A propensity-matched.
Society of Thoracic Surgeons 2008 cardiac risk models predict in-hospital mortality of heart valve surgery in a Chinese population: A multicenter study 

Society of Thoracic Surgeons 2008 cardiac risk models predict in-hospital mortality of heart valve surgery in a Chinese population: A multicenter study 
Manuel J. Antunes, MD, PhD, DSc 

Manuel J. Antunes, MD, PhD, DSc 
Influence of diabetes on survival in patients with cystic fibrosis before and after lung transplantation  Don Hayes, MD, MS, Alpa V. Patel, MD, Sylvester.

Influence of diabetes on survival in patients with cystic fibrosis before and after lung transplantation  Don Hayes, MD, MS, Alpa V. Patel, MD, Sylvester.
Factors associated with postoperative atrial fibrillation and other adverse events after cardiac surgery  Emmanuel Akintoye, MD, MPH, Frank Sellke, MD,

Factors associated with postoperative atrial fibrillation and other adverse events after cardiac surgery  Emmanuel Akintoye, MD, MPH, Frank Sellke, MD,
The impact of placing multiple grafts to each myocardial territory on long-term survival after coronary artery bypass grafting  Danny Chu, MD, Faisal.

The impact of placing multiple grafts to each myocardial territory on long-term survival after coronary artery bypass grafting  Danny Chu, MD, Faisal.
Mitral stenosis with pulmonary hypertension: We should operate early

Mitral stenosis with pulmonary hypertension: We should operate early
Prediction of severe acute kidney injury after pediatric cardiac surgery with the use of novel biomarkers: A new trend in clinical research and risk stratification 

Prediction of severe acute kidney injury after pediatric cardiac surgery with the use of novel biomarkers: A new trend in clinical research and risk stratification 
Local recurrence after surgery for non–small cell lung cancer: A recursive partitioning analysis of multi-institutional data  Chris R. Kelsey, MD, Kristin.

Local recurrence after surgery for non–small cell lung cancer: A recursive partitioning analysis of multi-institutional data  Chris R. Kelsey, MD, Kristin.
CHA2DS2-VASc Score Is Directly Associated with the Risk of Pulmonary Embolism in Patients with Atrial Fibrillation  Walid Saliba, MD, MPH, Gad Rennert,

CHA2DS2-VASc Score Is Directly Associated with the Risk of Pulmonary Embolism in Patients with Atrial Fibrillation  Walid Saliba, MD, MPH, Gad Rennert,
Analysis of risk factors for recurrence after video-assisted pulmonary vein isolation of lone atrial fibrillation—results of 5 years of follow-up  Qiu-Ming.

Analysis of risk factors for recurrence after video-assisted pulmonary vein isolation of lone atrial fibrillation—results of 5 years of follow-up  Qiu-Ming.
Increased late mortality after coronary artery bypass surgery complicated by isolated new-onset atrial fibrillation: A comprehensive propensity-matched.

Increased late mortality after coronary artery bypass surgery complicated by isolated new-onset atrial fibrillation: A comprehensive propensity-matched.
Volume 13, Issue 1, Pages (January 2016)

Volume 13, Issue 1, Pages (January 2016)
Prognostic significance of histologic differentiation, carcinoembryonic antigen value, and lymphovascular invasion in stage I non–small cell lung cancer 

Prognostic significance of histologic differentiation, carcinoembryonic antigen value, and lymphovascular invasion in stage I non–small cell lung cancer 
Blood transfusion determines postoperative morbidity in pediatric cardiac surgery applying a comprehensive blood-sparing approach  Matthias Redlin, MD,

Blood transfusion determines postoperative morbidity in pediatric cardiac surgery applying a comprehensive blood-sparing approach  Matthias Redlin, MD,
The effect of center volume on the incidence of postoperative complications and their impact on survival after lung transplantation  Arman Kilic, MD,

The effect of center volume on the incidence of postoperative complications and their impact on survival after lung transplantation  Arman Kilic, MD,
Surgical treatment is decisive for outcome in chondrosarcoma of the chest wall: A population-based Scandinavian Sarcoma Group study of 106 patients  Björn.

Surgical treatment is decisive for outcome in chondrosarcoma of the chest wall: A population-based Scandinavian Sarcoma Group study of 106 patients  Björn.
Prolonged QTc affects short-term and long-term outcomes in patients with normal left ventricular function undergoing cardiac surgery  Nattachai Anantasit,

Prolonged QTc affects short-term and long-term outcomes in patients with normal left ventricular function undergoing cardiac surgery  Nattachai Anantasit,
Cardiac surgery–associated neutrophil gelatinase–associated lipocalin score for postoperative acute kidney injury: What is the clinical implication? 

Cardiac surgery–associated neutrophil gelatinase–associated lipocalin score for postoperative acute kidney injury: What is the clinical implication? 
Murray H. Kwon, MD  The Journal of Thoracic and Cardiovascular Surgery 

Murray H. Kwon, MD  The Journal of Thoracic and Cardiovascular Surgery 

Similar presentations

Ads by Google