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266254

Correlation between the severity of coronary artery disease and CHA2DS2VASc Score in patients with non-valvular atrial fibrillation

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Last updated: 22 Jan 2023

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Abstract

Background: Nonvalvular atrial fibrillation (NVAF) frequently coexists with coronary artery disease (CAD); as they share similar risk factors and pathophysiology. However, the relation between CHA2DS2VASc score and CAD in patients with NVAF is not studied well. The objective of this study is to evaluate the correlation between CHA2DS2VASc score and the coronary angiographic findings in NVAF patients. Methods: This is a prospective, randomized, single center study that included all patients with NVAF attended Sohag University Hospital Cath. Lab. for Coronary angiography from first of January 2018 till end of December 2021. Demographic data, risk factors of coronary artery disease, different presentations, echocardiographic and coronary angiographic findings were analyzed and assessed. Results: More than half (56.2%) of patients with NVAF has CAD. The majority of NVAF patients with normal coronary angiography were in score 2. 26 patients had single CAD >50%; stenosis with 4 in score 0, 8 in score 1, 7 in score 2, 5 in score 3 and 2 in score 4. One patient had 2VD and was in score 2. 10 patients had 3VD; 2 in score 0, 5 in score 1, 2 in score 2, and 1 in score 3. Conclusion: More than half (56.2%) of the patients with NVAF has CAD based on coronary angiography. Single vessel CAD >50% was the most frequent lesion observed , meanwhile there was no correlation between the severity of the disease and CHA2DS2VASC score in NVAF patients.

DOI

10.21608/niles.2022.163291.1071

Keywords

Coronary, CHA2DS2VASc, Score, NVAF

Authors

First Name

Yasser

Last Name

Rashid

MiddleName

Mohamed Kamal

Affiliation

Sohag University Street

Email

dr.yasserkamal@gmail.com

City

Sohag

Orcid

-

First Name

adel

Last Name

Elsaid

MiddleName

abd aziz

Affiliation

Sohag University Street

Email

el_sayed.adel@hotmail.com

City

Sohag

Orcid

-

First Name

Alshimaa

Last Name

Hamed

MiddleName

Lotfi

Affiliation

Sohag University Street

Email

dr.hasnaaahamed0@gmail.com

City

Sohag

Orcid

-

First Name

sharaf

Last Name

Shazly

MiddleName

Mahmoud

Affiliation

Sohag University Street

Email

sharafoo3@gmail.com

City

Sohag

Orcid

-

Volume

6

Article Issue

1

Related Issue

35429

Issue Date

2023-01-01

Receive Date

2022-09-16

Publish Date

2023-01-01

Page Start

49

Page End

61

Print ISSN

2636-3224

Online ISSN

2636-3232

Link

https://niles.journals.ekb.eg/article_266254.html

Detail API

https://niles.journals.ekb.eg/service?article_code=266254

Order

4

Type

Original Article

Type Code

695

Publication Type

Journal

Publication Title

NILES journal for Geriatric and Gerontology

Publication Link

https://niles.journals.ekb.eg/

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Article

Created At

22 Jan 2023