Role of the CHADS2 Score in the Evaluation of Thromboembolic Risk in Patients With Atrial Fibrillation Undergoing Transesophageal Echocardiography Before Pulmonary Vein Isolation

Journal of the American College of Cardiology

Volumn 54, Issue 22, 2009, Pages 2032-2039

  Puwanant, Sarinya ^a,b   Varr, Brandon C ^a   Shrestha, Kevin ^a   Hussain, Sarah K ^a   Tang, W H Wilson ^a   Gabriel, Ruvin S ^a   Wazni, Oussama M ^a   Bhargava, Mandeep ^a   Saliba, Walid I ^a   Thomas, James D ^a   Lindsay, Bruce D ^a   Klein, Allan L ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

^b CHULALONGKORN UNIVERSITY   (Thailand)

Author keywords

atrial fibrillation; CHADS2 score; left atrial appendage; pulmonary vein isolation; transesophageal echocardiography

Indexed keywords

ADULT; AGED; ANTICOAGULATION; ARTICLE; CATHETER ABLATION; CHADS2 SCORE; CONGESTIVE HEART FAILURE; FEMALE; FOLLOW UP; HEART ATRIUM FIBRILLATION; HEART ATRIUM THROMBOSIS; HEART LEFT VENTRICLE EJECTION FRACTION; HUMAN; MAJOR CLINICAL STUDY; MALE; OBSERVER VARIATION; PREVALENCE; PRIORITY JOURNAL; PULMONARY VEIN; PULMONARY VEIN ISOLATION; REPRODUCIBILITY; SCORING SYSTEM; STATISTICAL ANALYSIS; STROKE; THROMBOEMBOLISM; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ECHOGRAPHY; HEART ATRIUM APPENDAGE; HEART FUNCTION TEST; HEART LEFT VENTRICLE FUNCTION; HEART STROKE VOLUME; MIDDLE AGED; RETROSPECTIVE STUDY; RISK ASSESSMENT;

AGED; ATRIAL APPENDAGE; ATRIAL FIBRILLATION; CATHETER ABLATION; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; FEMALE; HUMANS; MALE; MIDDLE AGED; PULMONARY VEINS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; STROKE; STROKE VOLUME; THROMBOEMBOLISM; VENTRICULAR DYSFUNCTION, LEFT;

EID: 71949087032     PISSN: 07351097     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jacc.2009.07.037     Document Type: Article

References (35)

1. Oral H., Knight B.P., Tada H., et al. Pulmonary vein isolation for paroxysmal and persistent atrial fibrillation. Circulation 105 (2002) 1077-1081
2. Josephson M.E. Isolation of atrial fibrillation to a pulmonary vein. Europace 5 (2003) 365-366
3. Pappone C., and Santinelli V. Atrial fibrillation ablation: state of the art. Am J Cardiol 96 (2005) 59L-64L
4. Riley M.J., and Marrouche N.F. Ablation of atrial fibrillation. Curr Probl Cardiol 31 (2006) 361-390
5. Oral H., Chugh A., Ozaydin M., et al. Risk of thromboembolic events after percutaneous left atrial radiofrequency ablation of atrial fibrillation. Circulation 114 (2006) 759-765
6. Calkins H., Brugada J., Packer D.L., et al. HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for personnel, policy, procedures and follow-up. A report of the Heart Rhythm Society (HRS) Task Force on catheter and surgical ablation of atrial fibrillation. Heart Rhythm 4 (2007) 816-861
7. Gage B.F., Waterman A.D., Shannon W., Boechler M., Rich M.W., and Radford M.J. Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation. JAMA 285 (2001) 2864-2870
8. 2) risk stratification scheme. Am Heart J 156 (2008) 57-64
9. Fuster V., Ryden L.E., Asinger R.W., et al. ACC/AHA/ESC guidelines 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 European Society of Cardiology Committee for Practice Guidelines and Policy Conferences (Committee to Develop Guidelines for the Management of Patients With Atrial Fibrillation). J Am Coll Cardiol 38 (2001) 1231-1266
10. Shanewise J.S., Cheung A.T., Aronson S., et al. ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. J Am Soc Echocardiogr 12 (1999) 884-900
11. Wazni O.M., Tsao H.M., Chen S.A., et al. Cardiovascular imaging in the management of atrial fibrillation. J Am Coll Cardiol 48 (2006) 2077-2084
12. Fatkin D., Kelly R.P., and Feneley M.P. Relations between left atrial appendage blood flow velocity, spontaneous echocardiographic contrast and thromboembolic risk in vivo. J Am Coll Cardiol 23 (1994) 961-969
13. Aschenberg W., Schluter M., Kremer P., Schroder E., Siglow V., and Bleifeld W. Transesophageal two-dimensional echocardiography for the detection of left atrial appendage thrombus. J Am Coll Cardiol 7 (1986) 163-166
14. Kanj M., Wazni O., and Natale A. Pulmonary vein antrum isolation. Heart Rhythm 4 (2007) S73-S79
15. Kanj M.H., Wazni O.M., and Natale A. How to do circular mapping catheter-guided pulmonary vein antrum isolation: the Cleveland Clinic approach. Heart Rhythm 3 (2006) 866-869
16. Wazni O.M., Beheiry S., Fahmy T., et al. Atrial fibrillation ablation in patients with therapeutic international normalized ratio: comparison of strategies of anticoagulation management in the periprocedural period. Circulation 116 (2007) 2531-2534
17. Seshadri N., Marrouche N.F., Wilber D., Packer D., and Natale A. Pulmonary vein isolation for treatment of atrial fibrillation: recent updates. Pacing Clin Electrophysiol 26 (2003) 1636-1640
18. Gill J.S. How to perform pulmonary vein isolation. Europace 6 (2004) 83-91
19. Jones E.F., Calafiore P., McNeil J.J., Tonkin A.M., and Donnan G.A. Atrial fibrillation with left atrial spontaneous contrast detected by transesophageal echocardiography is a potent risk factor for stroke. Am J Cardiol 78 (1996) 425-429
20. Klein A.L., Grimm R.A., Murray R.D., et al. Use of transesophageal echocardiography to guide cardioversion in patients with atrial fibrillation. N Engl J Med 344 (2001) 1411-1420
21. Khan M.N., Usmani A., Noor S., et al. Low incidence of left atrial or left atrial appendage thrombus in patients with paroxysmal atrial fibrillation and normal EF who present for pulmonary vein antrum isolation procedure. J Cardiovasc Electrophysiol 19 (2008) 356-358
22. Champagne J., Echahidi N., Philippon F., et al. Usefulness of transesophageal echocardiography in the isolation of pulmonary veins in the treatment of atrial fibrillation. Pacing Clin Electrophysiol 30 Suppl 1 (2007) S116-S119
23. Klein A.L., Grimm R.A., Black I.W., et al. Cardioversion guided by transesophageal echocardiography: the ACUTE pilot study. A randomized, controlled trial. Assessment of Cardioversion Using Transesophageal Echocardiography. Ann Intern Med 126 (1997) 200-209
24. Klein A.L., and Gabriel R.S. Managing catheter ablation for atrial fibrillation: the role of echocardiography. Europace 10 (2008) iii8-iii13
25. Lowe B.S., Varr B., Shrestha K., Whitman C., and Klein A.L. Prognostic significance of left atrial appendage "sludge" in patients with atrial fibrillation: a new transesophageal echocardiographic thromboembolic risk factor. Circulation 116 (2007) II687
26. Rader V.J., Khumri T.M., Idupulapati M., Stoner C.N., Magalski A., and Main M.L. Clinical predictors of left atrial thrombus and spontaneous echocardiographic contrast in patients with atrial fibrillation. J Am Soc Echocardiogr 20 (2007) 1181-1185
27. Zabalgoitia M., Halperin J.L., Pearce L.A., Blackshear J.L., Asinger R.W., and Hart R.G. Transesophageal echocardiographic correlates of clinical risk of thromboembolism in nonvalvular atrial fibrillation. Stroke Prevention in Atrial Fibrillation III Investigators. J Am Coll Cardiol 31 (1998) 1622-1626
28. Thambidorai S.K., Murray R.D., Parakh K., et al. Utility of transesophageal echocardiography in identification of thrombogenic milieu in patients with atrial fibrillation (an ACUTE ancillary study). Am J Cardiol 96 (2005) 935-941
29. American College of Physicians. Guidelines for medical treatment for stroke prevention. Ann Intern Med 121 (1994) 54-55
30. The Stroke Prevention in Atrial Fibrillation Investigators. Predictors of thromboembolism in atrial fibrillation: II. Echocardiographic features of patients at risk. Ann Intern Med 116 (1992) 6-12
31. The Stroke Prevention in Atrial Fibrillation Investigators. Predictors of thromboembolism in atrial fibrillation: I. Clinical features of patients at risk. Ann Intern Med 116 (1992) 1-5
32. Archer S.L., James K.E., Kvernen L.R., Cohen I.S., Ezekowitz M.D., and Gornick C.C. Role of transesophageal echocardiography in the detection of left atrial thrombus in patients with chronic nonrheumatic atrial fibrillation. Am Heart J 130 (1995) 287-295
33. The Stroke Prevention in Atrial Fibrillation Investigators Committee on Echocardiography. Transesophageal echocardiographic correlates of thromboembolism in high-risk patients with nonvalvular atrial fibrillation. Ann Intern Med 128 (1998) 639-647
34. Stollberger C., Chnupa P., Kronik G., et al. Transesophageal echocardiography to assess embolic risk in patients with atrial fibrillation. ELAT Study Group. Embolism in Left Atrial Thrombi. Ann Intern Med 128 (1998) 630-638
35. Stoddard M.F., Singh P., Dawn B., and Longaker R.A. Left atrial thrombus predicts transient ischemic attack in patients with atrial fibrillation. Am Heart J 145 (2003) 676-682