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Predicting stroke in patients without atrial fibrillation

European Journal of Clinical Investigation Apr 17, 2019

Steensig K, et al. - In patients without atrial fibrillation, researchers ascertained if the CHA2DS2-VASc score can predict the risk of atrial fibrillation and thromboembolic events. For this investigation, coronary angiography patients were grouped according to CHA2DS2-VASc score between 2004 and 2012. A total of 78,233 patients with group sizes ranging between 8,299 (CHA2DS2-VASc >4) and 19,882 (CHA2DS2-VASc 2) were included. The CHA2DS2-VASc score predicted a future diagnosis of atrial fibrillation and the composite risk of ischemic stroke, transient ischemic attack, or systemic embolism in patients without atrial fibrillation undergoing coronary angiography. In a patient with atrial fibrillation, a CHA2DS2-VASc score of 3 was related to a risk that would justify prophylactic oral anticoagulation treatment.

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