Evidence map›Paper›PMID 31340253›Full record

Observational studySao Paulo medical journal = Revista paulista de medicina2019

The CHA2DS2-VASc score for predicting atrial fibrillation in patients presenting with ST elevation myocardial infarction: prospective observational study.

Fatih Aksoy, Hasan Aydin Baş, Ali Bağcı, Tulay Oskay

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Sao Paulo medical journal = Revista paulista de medicina, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Association between CHAJournal of cardiovascular imaging · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Study on the predictive ability of emergency CHADSJournal of thoracic disease · 2022
    Article
  8. Article
  9. Article
  10. Assessment of the ability of the CHABMC cardiovascular disorders · 2021
    Article
  11. Article
  12. Observational
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Fatih AksoyMD. Associate Professor, Department of Cardiology, Süleyman Demirel Üniversitesi Tıp Fakültesi, Isparta, Turkey.ORCID http://orcid.org/0000-0002-6480-4935
Hasan Aydin BaşMD. Physician, Department of Cardiology, Isparta Şehir Hastanesi, Isparta, Turkey.ORCID http://orcid.org/0000-0001-7110-3443
Ali BağcıMD. Physician, Department of Cardiology, Isparta Şehir Hastanesi, Isparta, Turkey.ORCID http://orcid.org/0000-0002-8792-6329
Tulay OskayMD. Physician, Department of Cardiology, Merzifon Devlet Hastanesi, Amasya, Turkey.ORCID http://orcid.org/0000-0003-2801-7819
Isparta University of Applied Sciences · TRErgani Devlet Hastanesi · TRSüleyman Demirel University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is the most common form of supraventricular arrhythmia following ST-elevation myocardial infarction (STEMI). The CHA2DS2-VASc and CHADS2 scores are used to estimate thromboembolic risk in cases of AF. Their usefulness in predicting the development of AF in patients presenting STEMI is unknown.

objectiveTo evaluate the predictive value of the CHADS2 and CHA2DS2-VASc scores in patients with AF following STEMI. DESIGN AND

settingThis prospective cohort study on 696 patients with STEMI was conducted at a tertiary-level cardiology clinic in a public university hospital.

methodsModels including clinical and laboratory parameters were constructed to test the predictive value of CHADS2 and CHA2DS2-VASc scores. Patients were divided into two groups: with and without AF. Predictors of AF were determined using multivariate regression analysis.

resultsIn the patients with AF, CHADS2 and CHA2DS2-VASc scores were significantly higher than in those without AF (for both P < 0.001). Factors associated with AF in multivariate analyses included CHA2DS2-VASc score (odds ratio, OR: 1.48; 95% confidence interval, CI: 1.25-1.75; P < 0.001), peak creatine kinase-myocardial binding (OR: 1.002; 95% CI: 1.00-1.003; P = 0.0024), duration of the coronary intensive care unit stay (OR: 1.69; 95% CI: 1.24-12.30; P = 0.001) and no use of renin-angiotensin system blockers (OR: 2.16; 95% CI: 1.14-4.10; P = 0.0017). Receiver operating characteristic curve analyses showed that CHA2DS2-VASc scores were significant predictors for new-onset AF (C-statistic: 0.698; 95% CI: 0.631-0.765; P < 0.001).

conclusionCHADS2 and CHA2DS2-VASc scores predicted new AF in patients presenting STEMI.

Indexed as

AdultAgedAged, 80 and overAtrial FibrillationFemaleHumansMaleMiddle AgedPredictive Value of TestsProspective StudiesRisk FactorsROC CurveST Elevation Myocardial InfarctionYoung Adult

Identifiers

PMID31340253
PMCPMC9744004
OpenAlexW2962704023

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.