评分联合左心房内径对非瓣膜性心房颤动患者脑卒中风险的预测价值

doi:10.3969/j.issn.1004-583X.2016.02.015

临床荟萃 ›› 2016, Vol. 31 ›› Issue (2): 198-200.doi: 10.3969/j.issn.1004-583X.2016.02.015

评分联合左心房内径对非瓣膜性心房颤动患者脑卒中风险的预测价值

耿巍,张旗,田祥,张同乐,刘颖,付永奇,齐磊,朱瑶,靳丽丽

保定市第一中心医院心内科,河北保定 071000

收稿日期:2015-11-18 出版日期:2016-02-05 发布日期:2016-04-18
通讯作者: 耿巍,Email: docgwei@163.com

Predictive value of CHA₂DS₂-VASc score combining left atrial diameter for risk of stroke in patients with non-valvular atrial fibrillation

Geng Wei, Zhang Qi, Tian Xiang, Zhang Tongle, Liu Ying, Fu Yongqi, Qi Lei, Zhu Yao, Jin Lili

Department of Cardiology, No.1 Central Hospital of Baoding, Baoding 071000, China

Received:2015-11-18 Online:2016-02-05 Published:2016-04-18
Contact: Geng Wei, Email: docgwei@163.com

摘要/Abstract

摘要： 目的探讨CHA₂DS₂-VASc评分联合左心房内径预测非瓣膜性心房颤动(房颤)患者发生脑卒中风险的价值。方法共纳入230例非瓣膜性房颤患者,依据病史及辅助检查计算CHA₂DS₂-VASc评分。于患者出院后随访1年,随访期间若患者发生脑卒中或随访满1年则随访结束,根据随访结果将患者分为脑卒中组和非脑卒中组。结果脑卒中组CHA₂DS₂-VASc评分、左心房内径较非脑卒中组偏高,CHA₂DS₂-VASc评分、左心房内径、CHA₂DS₂-VASc评分联合左心房内径预测非瓣膜性房颤患者发生脑卒中的ROC曲线下面积分别为0.789、0.753、0.835;CHA₂DS₂-VASc评分联合左心房内径的ROC曲线下面积与CHA₂DS₂-VASc评分、左心房内径的ROC曲线下面积比较差异有统计学意义(P＜0.01)。结论 CHA₂DS₂-VASc评分联合左心房内径对非瓣膜性房颤患者发生脑卒中的风险有更高的预测价值。

关键词: 卒中, 心房颤动, CHA₂DS₂-VASc评分, 左心房内径

Abstract: Objective To explore the predictive value of CHA₂DS₂-VASc score combined with left atrial diameter for the risk of stroke in patients with non-valvular atrial fibrillation (NVAF).Methods A total of 230 patients with NVAF were selected. CHA₂DS₂-VASc score was calculated for each patient by the clinical history and auxiliary examination. All patients were followed up for one year after discharging from hospital, and the follow-up visit would be finished if patients suffered from stroke or followed up for one year. The patients were divided into stroke group and non-stroke group according to the follow-up results.Results The CHA₂DS₂-VASc score and left atrial diameter in the stroke group were higher than those of non-stroke group. The area under the ROC curve of CHA₂DS₂-VASc score, left atrial diameter and CHA₂DS₂-VASc score combined with left atrial diameter to predict the happening of stroke in patients with NVAF were respectively 0.789,0.753 and 0.835. There were significant difference in area under the ROC curve among CHA₂DS₂-VASc score, left atrial diameter and CHA₂DS₂-VASc score combined with left atrial diameter(P＜0.01).Conclusion The predictive value of CHA₂DS₂-VASc score combined with left atrial diameter is higher for the occurrence of stroke in patients with NVAF.

Key words: stroke, atrial fibrillation, CHA₂DS₂-VASc score, left atrial diameter

中图分类号:

R743

耿巍,张旗,田祥,张同乐,刘颖,付永奇,齐磊,朱瑶,靳丽丽. 评分联合左心房内径对非瓣膜性心房颤动患者脑卒中风险的预测价值[J]. 临床荟萃, 2016, 31(2): 198-200.

Geng Wei, Zhang Qi, Tian Xiang, Zhang Tongle, Liu Ying, Fu Yongqi, Qi Lei, Zhu Yao, Jin Lili. Predictive value of CHA₂DS₂-VASc score combining left atrial diameter for risk of stroke in patients with non-valvular atrial fibrillation[J]. Clinical Focus, 2016, 31(2): 198-200.

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https://huicui.hebmu.edu.cn/CN/Y2016/V31/I2/198

参考文献

[1] 周自强, 胡大一, 陈捷, 等. 中国心房颤动现状的流行病学研究[J]. 中华内科杂志,2004,43(7): 491-494.
[2] Hanon O, Assayag P, Belmin J, et al. Expert consensus of the French Society of Geriatrics and Gerontology and the French Society of Cardiology on the management of atrial fibrillation in elderly people[J]. Arch Cardiovasc Dis,2013,106(5): 303-323.
[3] January CT, Wann LS, Alpert JS, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the Heart Rhythm Society[J]. Circulation,2014,130(23): 2071-2104.
[4] 傅德建, 何剑, 张向阳. 非瓣膜性心房颤动血栓形成危险因素的分析[J]. 中国循环杂志,2012,27(4): 282-284.
[5] 木胡牙提, 卢武红, 马依彤, 等. 1041例非瓣膜性心房颤动患者左心房内径的分析[J]. 中国循环杂志,2009,24(5): 364-366.
[6] Camm AJ, Kirchhof P, Lip GY, et al. Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC)[J]. Eur Heart J,2010,31(19): 2369-429.
[7] 中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组. 中国急性缺血性脑卒中诊治指南2010[J]. 中华神经科杂志,2010,43(2): 146-153.
[8] 黄从新, 马长生, 杨延宗,等. 心房颤动:目前的认识和治疗建议(二)[J]. 中华心律失常学杂志,2006,10(3): 167-197.
[9] 胡大一, 郭艺芳. 心房颤动抗凝治疗中国专家共识[J]. 心脑血管病防治,2012,51(3): 173-177.
[10] Fuster V, Ryden LE, Cannom DS, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: full text: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 guidelines for the management of patients with atrial fibrillation) developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society[J]. Europace,2006,8(9): 651-745.
[11] 刘燕, 龚辉. 非瓣膜性心房纤颤CHADS₂评分低中危患者脑卒中危险因素分析[J]. 中国全科医学,2015,(19): 2290-2293,2305.
[12] 付永奇, 田祥, 耿巍,等. CHADS2评分联合红细胞分布宽度预测非瓣膜病心房颤动患者缺血性脑卒中风险的研究[J]. 中国医刊,2015,50(8): 43-46.
[13] 付永奇, 田祥, 李放, 等非瓣膜性心房颤动患者红细胞分布宽度与CHADS₂评分的关系研究[J]. 中国医药指南,2014,12(32): 178-179.
[14] 孙荣艳, 范正俊, 冯云萍,等. CHADS₂评分法规范老年非瓣膜性房颤治疗研究[J]. 中国医学创新,2015,12(5): 107-110.
[15] 马军伟, 马向红, 崔利军, 等. CHADS2及CHA2DS2-VASc评分对非瓣膜性心房颤动患者左心房/左心耳血栓的预测价值[J]. 天津医药,2015,43(3): 304-308.

评分联合左心房内径对非瓣膜性心房颤动患者脑卒中风险的预测价值

Predictive value of CHA₂DS₂-VASc score combining left atrial diameter for risk of stroke in patients with non-valvular atrial fibrillation

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评分联合左心房内径对非瓣膜性心房颤动患者脑卒中风险的预测价值

Predictive value of CHA2DS2-VASc score combining left atrial diameter for risk of stroke in patients with non-valvular atrial fibrillation

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Predictive value of CHA₂DS₂-VASc score combining left atrial diameter for risk of stroke in patients with non-valvular atrial fibrillation