HATCH score in the prediction of new-onset atrial fibrillation after catheter ablation of typical atrial flutter

Chen, Ke; Bai, Rong; Deng, Wen-Ning; Gao, Chuanyu; Zhang, Jing; Wang, Xianqing; Shun-bao, Wang; Fu, Hai-Xia; Zhao, Yonghui; Zhang, Jiaying; Dong, Jianzeng; Ma, Changsheng

doi:10.1016/j.hrthm.2015.04.008

Cited by 65 publications

(61 citation statements)

References 31 publications

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“…Third, in this report [9], the frequency of prior cerebrovascular disease was significantly higher in HATCH ≥ 2 patients than in HATCH < 2 patients (19% vs. 2%). However, the frequency of hypertension was significantly lower in HATCH ≥ 2 patients than in HATCH < 2 patients (58% vs. 70%).…”

Section: Discussionmentioning

confidence: 39%

“…In a recent report [9], the HATCH score was a good predictor of new-onset AF after typical isolated AFl ablation, with an area under the curve of 0.74. However, we did not find it to be a reliable predictor for detecting new-onset AF at any of the HATCH score cut-off values.…”

Section: Discussionmentioning

confidence: 87%

“…First, in Chen's report [9], the age of patients who developed AF was 65 years, which was significantly higher than the age of patients who did not develop AF (61 years). Other studies [5], [10], [11] did not find a statistically significant difference in the occurrence of AF related to age, and in two reports [12], [13], patients who developed AF during follow-up were significantly younger than patients who did not develop AF (HR of 1.46 for those < 65 years of age).…”

Section: Discussionmentioning

confidence: 95%

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Is HATCH score a reliable predictor of atrial fibrillation after cavotricuspid isthmus ablation for typical atrial flutter?

García‐Seara

Sampedro

Martínez‐Sande

et al. 2016

IJC Heart & Vasculature

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ObjectiveWe determined the effectiveness of the HATCH score in patients with typical atrial flutter (AFl) undergoing cavotricuspid isthmus (CTI) ablation to predict long-term atrial fibrillation (AF).MethodsWe conducted an observational retrospective single-center cohort study including all patients admitted to our hospital for a CTI ablation between 1998 and 2010. The patients were divided into four categories: 1) new-onset AF (no prior AF and AF during follow-up (FU)); 2) old AF (prior AF and no AF during FU); 3) prior and post AF (AF prior and post CTI ablation); and 4) no AF.ResultsFour hundred and eight patients were included. In patients without prior AF, the hazard ratio (HR) for new-onset AF during FU was 0.98 (CI 95%: 0.65–1.50; p = 0.95) and 1.00 (CI 95%: 0.57–1.77; p = 0.98) for HATCH ≥ 2 and HATCH ≥ 3, respectively. In patients with prior AF, the HR for AF was 1.41 (CI 95%: 0.87–2.28; p = 0.17) and 1.79 (CI 95%: 0.96–3.35; p = 0.06), for HATCH ≥ 2 and HATCH ≥ 3, respectively. Left atrial enlargement was positively correlated with the occurrence of AF during FU, especially in the subgroup without prior AF, which had a HR of 2.44 (CI 95%: 1.35–4.40; p = 0.003), a HR of 2.88 (CI 95%: 1.36–6.10; p = 0.006) and a HR of 3.68 (CI 95%: 1.71–7.94; p = 0.001), for slight, moderate and severely dilated left atrial dimension, respectively, compared with a normal value.ConclusionsHATCH score did not predict AF in patients with typical AFl who underwent CTI ablation. Basal left atrium dimension could help predict new-onset AF.

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Section: Discussionmentioning

confidence: 39%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 95%

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Is HATCH score a reliable predictor of atrial fibrillation after cavotricuspid isthmus ablation for typical atrial flutter?

García‐Seara

Sampedro

Martínez‐Sande

et al. 2016

IJC Heart & Vasculature

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“…The complication rates were similar in patients ≥80 years of age and those 70 to 79 years of age (7.0% vs. 7.5%), but modestly worse than in patients younger than 70 years (4.5%). Age ≥75 years has been identified as one of the predictors of new-onset AF after atrial flutter ablation (HR: 1.046; 95% CI: 1.019 to 1.075) (84). …”

Section: Tachyarrhythmiasmentioning

confidence: 99%

Arrhythmias in Patients ≥80 Years of Age

Curtis

Karki

Hattoum

et al. 2018

Journal of the American College of Cardiology

113

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Advances in medical care have led to an increase in the number of octogenarians and even older patients, forming an important and unique patient subgroup. It is clear that advancing age is an independent risk factor for the development of most arrhythmias, causing substantial morbidity and mortality. Patients ≥80 years of age have significant structural and electrical remodeling of cardiac tissue; accrue competing comorbidities; react differently to drug therapy; and may experience falls, frailty, and cognitive impairment, presenting significant therapeutic challenges. Unfortunately, very old patients are under-represented in clinical trials, leading to critical gaps in evidence to guide effective and safe treatment of arrhythmias. In this state-of-the-art review, we examine the pathophysiology of aging and arrhythmias and then present the available evidence on age-specific management of the most common arrhythmias, including drugs, catheter ablation, and cardiac implantable electronic devices.

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“…While those patients undergoing CTI ablation, especially as first-line therapy, may delay the onset of AF, it is clear from study after study that patients with flutter are at risk for developing AF, CTI ablation or not. As such, should anticoagulation be continued in some high-risk patients such as those identified by the hypertension, age ≥75 years, transient ischemic attack or stroke, chronic obstructive pulmonary disease, heart failure (HATCH) scoring system?8 With some non-vitamin K oral anticoagulants showing a lower risk of bleeding compared with warfarin along with a better lowering of thromboembolic risk reduction, the choice to anticoagulate patients with non-valvular AF may be easier 9. Perhaps, insertable cardiac monitors (ICMs) can play a role allowing for early detection of AF post-CTI ablation.…”

mentioning

confidence: 99%