Role of CHADS 2 score in evaluation of thromboembolic risk and mortality in patients with atrial fibrillation undergoing direct current cardioversion (from the ACUTE Trial Substudy)

American Journal of Cardiology

Volumn 110, Issue 2, 2012, Pages 222-226

  Yarmohammadi, Hirad ^a   Varr, Brandon C ^b   Puwanant, Sarinya ^c   Lieber, Elizabeth ^a   Williams, Sarah J ^a   Klostermann, Tristan ^a   Jasper, Susan E ^a   Whitman, Christine ^a   Klein, Allan L ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

^b STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c CHULALONGKORN UNIVERSITY   (Thailand)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ATHEROMA; CARDIOVASCULAR MORTALITY; CARDIOVERSION; CONFERENCE PAPER; CONGESTIVE HEART FAILURE; DEATH; DIABETES MELLITUS; FEMALE; HEART ATRIUM APPENDAGE; HEART ATRIUM FIBRILLATION; HEART ATRIUM FLUTTER; HEART ATRIUM THROMBOSIS; HEART EJECTION FRACTION; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; PREVALENCE; PRIORITY JOURNAL; RISK ASSESSMENT; SINUS RHYTHM; STROKE; THROMBOEMBOLISM; THROMBOGENESIS; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; TRANSIENT ISCHEMIC ATTACK; ARTICLE; CEREBROVASCULAR ACCIDENT; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ECHOGRAPHY; HEART STROKE VOLUME; METHODOLOGY; MIDDLE AGED; MORTALITY; RANDOMIZED CONTROLLED TRIAL; THROMBOSIS; TRICUSPID VALVE REGURGITATION;

ANTICOAGULANT AGENT; HEPARIN; WARFARIN;

ANTICOAGULANTS; ATRIAL APPENDAGE; ATRIAL FIBRILLATION; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; ELECTRIC COUNTERSHOCK; FEMALE; HEPARIN; HUMANS; ISCHEMIC ATTACK, TRANSIENT; MALE; MIDDLE AGED; RISK ASSESSMENT; STROKE; STROKE VOLUME; THROMBOSIS; TRICUSPID VALVE INSUFFICIENCY; WARFARIN;

EID: 84862775557     PISSN: 00029149     EISSN: 18791913     Source Type: Journal    
DOI: 10.1016/j.amjcard.2012.03.017     Document Type: Conference Paper

References (21)

1. S. Puwanant, B.C. Varr, K. Shrestha, S.K. Hussain, W.H. Tang, R.S. Gabriel, O.M. Wazni, M. Bhargava, W.I. Saliba, J.D. Thomas, B.D. Lindsay, A.L. Klein Role of the CHADS2 score in the evaluation of thromboembolic risk in patients with atrial fibrillation undergoing transesophageal echocardiography before pulmonary vein isolation J Am Coll Cardiol 54 2009 2032 2039
2. A.L. Klein, R.A. Grimm, R.D. Murray, C. Apperson-Hansen, R.W. Asinger, I.W. Black, R. Davidoff, R. Erbel, J.L. Halperin, D.A. Orsinelli, T.R. Porter, M.F. Stoddard Assessment of Cardioversion Using Transesophageal Echocardiography Investigators Use of transesophageal echocardiography to guide cardioversion in patients with atrial fibrillation N Engl J Med 344 2001 1411 1420
3. B.F. Gage, A.D. Waterman, W. Shannon, M. Boechler, M.W. Rich, M.J. Radford Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation jama 285 2001 2864 2870
4. Steering and Publications Committees of the ACUTE Study Design of a clinical trial for the assessment of cardioversion using transesophageal echocardiography (the ACUTE multicenter study) Am J Cardiol 81 1998 877 883
5. A. Laupacis, G. Albers, J. Dalen, M. Dunn, W. Feinberg, A. Jacobson Antithrombotic therapy in atrial fibrillation Chest 108 1995 352S 359S
6. A. Laupacis, G. Albers, M. Dunn, W. Feinberg Antithrombotic therapy in atrial fibrillation Chest 102 1992 426S 433S
7. O.M. Wazni, H.M. Tsao, S.A. Chen, H.H. Chuang, W. Saliba, A. Natale, A.L. Klein Cardiovascular imaging in the management of atrial fibrillation J Am Coll Cardiol 48 2006 2077 2084
8. D. Fatkin, R.P. Kelly, M.P. Feneley Relations between left atrial appendage blood flow velocity, spontaneous echocardiographic contrast and thromboembolic risk in vivo J Am Coll Cardiol 23 1994 961 969
9. W. Aschenberg, M. Schluter, P. Kremer, E. Schroder, V. Siglow, W. Bleifeld Transesophageal two-dimensional echocardiography for the detection of left atrial appendage thrombus J Am Coll Cardiol 7 1986 163 166
10. W.J. Manning, D.E. Leeman, P.J. Gotch, P.C. Come Pulsed Doppler evaluation of atrial mechanical function after electrical cardioversion of atrial fibrillation J Am Coll Cardiol 13 1989 617 623
11. D. Fatkin, D.L. Kuchar, C.W. Thorburn, M.P. Feneley Transesophageal echocardiography before and during direct current cardioversion of atrial fibrillation: evidence for "atrial stunning" as a mechanism of thromboembolic complications J Am Coll Cardiol 23 1994 307 316
12. A.L. Klein, R.A. Grimm, I.W. Black, D.Y. Leung, M.K. Chung, S.E. Vaughn, R.D. Murray, D.P. Miller, K.L. Arheart Cardioversion guided by transesophageal echocardiography: the ACUTE pilot study A randomized, controlled trial Ann Intern Med 126 1997 200 209
13. G. Corrado, G. Tadeo, S. Beretta, L.M. Tagliagambe, G.F. Manzillo, M. Spata, M. Santarone Atrial thrombi resolution after prolonged anticoagulation in patients with atrial fibrillation Chest 115 1999 140 143
14. M.N. Khan, A. Usmani, S. Noor, S. Elayi, C.K. Ching, L. Di Biase, D. Patel, J.D. Burkhardt, J. Cummings, R. Schweikert, W. Saliba, A. Natale 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
15. T. Kleemann, T. Becker, M. Strauss, S. Schneider, K. Seidl Prevalence of left atrial thrombus and dense spontaneous echo contrast in patients with short-term atrial fibrillation < 48 hours undergoing cardioversion: value of transesophageal echocardiography to guide cardioversion J Am Soc Echocardiogr 22 2009 1403 1408
16. G.Y. Lip, R. Nieuwlaat, R. Pisters, D.A. Lane, H.J. Crijns Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the Euro Heart Survey on Atrial Fibrillation Chest 137 2010 263 272
17. K. Kimura, K. Minematsu, T. Yamaguchi Japan Multicenter Stroke Investigators' Collaboration (J-MUSIC) Atrial fibrillation as a predictive factor for severe stroke and early death in 15,831 patients with acute ischaemic stroke J Neurol Neurosurg Psychiatry 76 2005 679 683
18. P.A. Wolf, J.B. Mitchell, C.S. Baker, W.B. Kannel, R.B. D'Agostino Impact of atrial fibrillation on mortality, stroke, and medical costs Arch Intern Med 158 1998 229 234
19. E.J. Benjamin, P.A. Wolf, R.B. D'Agostino, H. Silbershatz, W.B. Kannel, D. Levy Impact of atrial fibrillation on the risk of death: the Framingham Heart Study Circulation 98 1998 946 952
20. 2 risk factors Pacing Clin Electrophysiol 32 2009 981 986
21. T.M. Khumri, M. Idupulapati, V.J. Rader, S. Nayyar, C.N. Stoner, M.L. Main Clinical and echocardiographic markers of mortality risk in patients with atrial fibrillation Am J Cardiol 99 2007 1733 1736