A Novel Model for Prediction of Thromboembolic and Cardiovascular Events in Patients Without Atrial Fibrillation.


Journal

The American journal of cardiology
ISSN: 1879-1913
Titre abrégé: Am J Cardiol
Pays: United States
ID NLM: 0207277

Informations de publication

Date de publication:
15 09 2020
Historique:
received: 14 03 2020
revised: 05 06 2020
accepted: 08 06 2020
pubmed: 29 7 2020
medline: 13 11 2020
entrez: 29 7 2020
Statut: ppublish

Résumé

Patients without atrial fibrillation (AF) constitute approximately 75% of patients suffering thromboembolism and major adverse cardiovascular events (MACE), but evidence supporting risk stratification in these patients is sparse. We aimed to develop a risk prediction model for identification of patients without AF at high risk of first-time thromboembolic events. We included 72,381 coronary angiography patients without AF and without previous ischemic stroke or transient ischemic attack. The cohort was randomly divided into a derivation cohort (80%, n = 57,680) and a validation cohort (20%, n = 14,701). The primary thromboembolic end point was a composite of ischemic stroke, transient ischemic attack, and systemic embolism. MACE was defined as a composite of cardiac death, myocardial infarction, and ischemic stroke. The final model was compared with 2 validated clinical risk models (CHADS

Identifiants

pubmed: 32718550
pii: S0002-9149(20)30608-1
doi: 10.1016/j.amjcard.2020.06.031
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

40-48

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Kamilla Steensig (K)

Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.

Kevin K W Olesen (KKW)

Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.

Morten Madsen (M)

Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.

Troels Thim (T)

Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.

Lisette Okkels Jensen (LO)

Department of Cardiology, Odense University Hospital, Odense, Denmark.

Morten Würtz (M)

Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.

Steen Dalby Kristensen (SD)

Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.

Hans Erik Bøtker (HE)

Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.

Gregory Y H Lip (GYH)

Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark; Liverpool Centre for Cardiovascular Science, Liverpool Heart and Chest Hospital, University of Liverpool, Liverpool, United Kingdom; Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.

John William Eikelboom (JW)

Division of Hematology & Thromboembolism, Department of Medicine, McMaster University, Ontario, Canada.

Michael Maeng (M)

Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark. Electronic address: michael.maeng@clin.au.dk.

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