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Association Between CHADS2 Score and the Development of Interatrial Block
Jin-Tao Wu1, Xian-Wei Fan1, Hai-Tao Yang1
1Department of Cardiology, Henan Provincial People's Hospital (Zhengzhou University People's Hospital).
International Heart Journal
|October 30, 2018
Summary
The CHADS 2 score, a measure of stroke risk, is significantly associated with interatrial block (IAB), a heart condition. Higher CHADS 2 scores indicate a greater likelihood of developing IAB, impacting patient risk stratification.
Area of Science:
- Cardiology
- Electrophysiology
- Internal Medicine
Background:
- Interatrial block (IAB) is recognized as a significant predictor of various cardiovascular conditions.
- Understanding factors associated with IAB is crucial for improving patient outcomes and risk assessment.
Purpose of the Study:
- To investigate the potential association between the CHADS 2 score and the development of interatrial block (IAB).
- To determine if the CHADS 2 score can serve as a predictive marker for IAB.
Main Methods:
- Retrospective analysis of 1072 patients.
- Measurement of P-wave duration on 12-lead electrocardiograms to diagnose IAB (P-wave duration ≥ 120 ms).
- Calculation of CHADS 2 scores and multivariate analysis to identify independent predictors of IAB.
Main Results:
- The prevalence of IAB was 36.1% in the study population.
- Increased CHADS 2 score (OR, 1.810), coronary artery disease, and left atrial diameter were independently associated with IAB.
- A significant positive correlation was observed between higher CHADS 2 scores and the presence of IAB, with a notable increase in IAB prevalence for scores ≥ 2.
Conclusions:
- The CHADS 2 score is a significant and independent predictor of interatrial block.
- The findings suggest that the CHADS 2 score can be utilized in the assessment and risk stratification of patients with or at risk for IAB.
Keywords:
P-wave duration
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