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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
28:13

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Published on: February 26, 2013

Relationship between HAVOC score and new-onset atrial fibrillation in patients with ST elevation myocardial

Emrah Bayam1, Macit Kalçık2, Ersin Yıldırım3

  • 1Department of Cardiology, University of Medical Sciences, Kartal Koşuyolu High Specialty Training and Research Hospital, İstanbul, Turkey. emrah_bayam@hotmail.com.

Herz
|June 4, 2026
PubMed

Insights

The HAVOC score effectively predicts new-onset atrial fibrillation (AF) in ST-segment elevation myocardial infarction (STEMI) patients. High scores indicate increased risk, enabling early intervention for AF complications.

Area of Science:

  • Cardiology
  • Clinical Prediction Models

Background:

  • Atrial fibrillation (AF) is a frequent complication following acute myocardial infarction.
  • The HAVOC score, initially for stroke prediction, is evaluated for new-onset AF (NOAF) in ST-segment elevation myocardial infarction (STEMI).

Purpose of the Study:

  • To assess the predictive value of the HAVOC score for new-onset AF (NOAF) in STEMI patients.
  • To determine if the HAVOC score can identify STEMI patients at higher risk for developing AF.

Main Methods:

  • Retrospective analysis of 1640 STEMI patients (August 2019 - December 2024).
  • Patients were categorized into groups with and without NOAF.
  • Electrocardiographic monitoring and echocardiography were performed post-primary percutaneous coronary intervention.

Main Results:

  • New-onset AF occurred in 115 patients.
  • Higher age, hypertension, COPD, stroke history, lower ejection fraction, and larger left atrial diameter were observed in the NOAF group.
  • A high HAVOC score (OR=1.078) independently predicted NOAF in STEMI patients.

Conclusions:

  • The HAVOC score is a valuable tool for predicting NOAF in STEMI patients.
  • Early identification of high-risk individuals using the HAVOC score can facilitate prevention of AF-related complications.
Abstract

Keywords:
Atrial fibrillationEchocardiographyElectrocardiographyHAVOC scoreMyocardial infarction

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