Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Evaluation of Diagnostic Accuracy of the Modified CHA2DS2-VASc Score in Predicting Obstructive Coronary Disease Among Patients Suspected of Chronic Coronary Syndrome
Session:
Sessão de Posters 20 - Doença coronária - marcadores de prognóstico
Speaker:
Joana Laranjeira Correia
Congress:
CPC 2024
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
12.3 Coronary Artery Disease – Diagnostic Methods
Session Type:
Cartazes
FP Number:
---
Authors:
Joana Laranjeira Correia; Vanda Devesa Neto; Gonçalo RM Ferreira; João Gouveia Fiuza; Mariana Duarte Almeida; Oliver Correia Kungel; Francisco Rodrigues Dos Santos; António Costa
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-family:"Segoe UI",sans-serif"><span style="color:#374151">Introduction: Coronary artery disease (CAD) is a pathological process characterized by the accumulation of atherosclerotic plaques in the epicardial arteries. The dynamic nature of the CAD process results in various clinical presentations, conveniently categorized as either acute coronary syndromes (ACS) or chronic coronary syndromes (CCS). The CHA2DS2-VASc Score is the most commonly utilized method to predict thromboembolic risk in atrial fibrillation. In this study, the authors used the CHA2DS2-VASc modified score, with a change in punctuation assigned to the sex category (the Sc point is assigned to the male gender).</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-family:"Segoe UI",sans-serif"><span style="color:#374151">Aim: To evaluate the diagnostic accuracy of the CHA2DS2-VASc modified score for predicting the presence of obstructive coronary disease among patients with suspected chronic coronary syndrome.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-family:"Segoe UI",sans-serif"><span style="color:#374151">Methods: This was a retrospective cohort study that included patients with suspected chronic coronary syndrome admitted for elective coronary angiography from January to December 2021. The CHA2DS2-VASc modified score for each eligible patient was determined. A ROC curve for the CHA2DS2-VASc modified score to predict the presence of obstructive CAD was constructed, and the optimal cutoff was obtained (the value was 3 points, with a sensitivity of 60% and specificity of 80%). Patients were then stratified into two groups according to the CHA2DS2-VASc modified score: ≤ 3 (low) and >3 (high). The authors finally analyzed the correlation between the two groups and the presence of obstructive CAD. The statistical analysis was performed in SPSS. A p-value <0.05 was considered statistically significant.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-family:"Segoe UI",sans-serif"><span style="color:#374151">Results: 150 patients were included in the study (67.3% male, mean age 67.5±9.8 years). 13.3% of the patients had heart failure, 64% had hypertension, 30% had diabetes, 5.3% had a history of stroke, and 22.7% had a history of vascular disease. Around 41.3% of all patients were found to have obstructive coronary disease at coronary angiography. The mean CHA2DS2-VASc modified score was 2.96±1.53 points. Through the analysis of the ROC curve, the CHA2DS2-VASc modified score showed a good predictive value of obstructive CAD (AUC 0.760, p <0.001; CI 0.649-0.811). Furthermore, the high-risk group had a 5.4-fold increased risk of obstructive coronary disease (x2 22.145; p<0,001; OR 5.4).</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-family:"Segoe UI",sans-serif"><span style="color:#374151">Conclusion: The CHA2DS2-VASc modified score accurately predicted the presence of obstructive CAD in this population. This simple and practical scoring system may be useful for the early identification of patients who should be referred more promptly to an invasive strategy.</span></span></span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site