CHADS2 and CHA2DS2-VASc Scores for Prediction of Immediate and Late Stroke after Coronary Artery Bypass Graft Surgery

Prediction of stroke or TIA in patients without atrial fibrillation using CHADS2and CHA2DS2-VASc scores

“…Increasing CHADS 2 scores predicted mortality in all patients but, as in our experience, predicted stroke only in patients without AF. Similar observations have been reported in other patient groups without AF, including after coronary artery bypass surgery,8 9 after a first stroke/TIA,6 16 with left ventricular non-compaction,17 and in a population-based study from China 10. The present report adds to this evolving literature by validating previous findings and by refining their point estimates in the largest cohort to date.…”

“…Although the predictive values of CHADS 2 and CHA 2 DS 2 -VASc scores for ischaemic stroke were modest (c-statistics 0.66 and 0.67, respectively), there was a clear increase in annual risk with increasing scores using either predictive tool. Recently, CHADS 2 and CHA 2 DS 2 -VASc clinical tools have been reported to have predictive capacity for outcomes in patients without known AF, including the risk of death after stroke,6 the risk of new onset AF,7 the risks of stroke or death after coronary artery bypass grafting,8 9 the risk of stroke in unselected patients,10 the risk of stroke in patients with stable coronary artery disease11 and the risk of stroke after an acute coronary syndrome (ACS) 12…”

CHA2DS2-VASc in the prediction of early atrial fibrillation relapses after electrical or pharmacological cardioversion

“…Excluding major and recognized risk factors for atrial fibrillation recurrences, such as left atrium size, Prediction of early atrial fibrillation relapses Falsetti et al 639 CHA 2 DS 2 -VASc score could mark a more generic worse clinical status and could be used to identify patients who are unsuitable for cardioversion. In particular, some studies underlined the predictive capacity of CHA 2 DS 2 -VASc score as a marker of clinical complexity of the patients by enlightening its role in stroke risk prediction after coronary artery bypass graft surgery 21 and in longterm stroke outcome, even in absence of atrial fibrillation. 22 According to our findings, CHA 2 DS 2 -VASc could be suggested as a useful stratification tool for the management of hemodynamically stable elderly patients with atrial fibrillation.…”

Predictive value of newly defined CHA2DS2-VASc-HSF score for severity of coronary artery disease in ST segment elevation myocardial infarction

“…CHADS 2 and CHA 2 DS 2 -VASc scores are widely used in clinical practice and include similar risk factors for the development of coronary artery disease (CAD). These scores have been demonstrated to have predictive value in terms of the risk of death after stroke [3], the risk of stroke or death after coronary artery bypass grafting (CABG) [4], and the risk of stroke and death in patients with stable CAD [5] and acute coronary syndrome [6].…”