Does cha2ds2-vasc score predict mace in patients undergoing isolated coronary artery bypass grafting surgery?
Rev. bras. cir. cardiovasc
;
34(5): 542-549, Sept.-Oct. 2019. tab, graf
Article
in English
| LILACS
| ID: biblio-1042056
ABSTRACT
Abstract Objective:
To evaluate the prognostic value of CHA2DS2-VASc score in individuals undergoing isolated coronary artery bypass grafting (CABG) surgery.Methods:
Records of consecutive 464 patients who underwent elective isolated CABG, between January 2015 and August 2017, were retrospectively reviewed. A major adverse cardiac event (MACE) was the primary outcome of this study. MACE in patients with low (L) (<2, n 238) and high (H) (≤2, n 226) CHA2DS2-VASc scores were compared. Univariate logistic regression analysis identified preditors of MACE.Results:
Hypertension, diabetes mellitus, and peripheral vascular disease were more frequent in the H group than in the L group. European System for Cardiac Operative Risk Evaluation (EuroSCORE) I and SYNTAX I scores were similar in both groups while SYNTAX II-CABG score was significantly higher in the H group than in the L group. Postoperative myocardial infarction, need for intra-aortic balloon pump, acute renal failure, and mediastinitis were more frequent in the H group than in the L group. The H group had significantly higher in-hospital mortality and MACE rates than the L group (P<0.01). EuroSCORE I, SYNTAX II-CABG, and CHA2DS2-VASc scores were predictors for MACE. SYNTAX II-CABG > 25.1 had 68.4% sensitivity and 52.7% specificity (area under the curve [AUC] 0.653, P=0.04, 95% confidence interval [CI] 0.607-0.696) and CHA2DS2-VASc > 2 had 52.6% sensitivity and 84.1% specificity (AUC 0.752, P<0.01, 95% CI 0.710-0.790) to predict MACE. Pairwise comparison of receiver-operating characteristic curves revealed similar accuracy for both scoring systems.Conclusion:
CHA2DS2-VASc score may predict MACE in patients undergoing isolated CABG.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Coronary Artery Disease
/
Coronary Artery Bypass
/
Risk Assessment
/
Heart Diseases
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2019
Type:
Article
Affiliation country:
Turkey
Institution/Affiliation country:
Haseki Training and Research Hospital/TR
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