Comparing CHA

Atrial fibrillation CHA2DS2-VA CHA2DS2-VASc Risk prediction Stroke

Journal

The Lancet regional health. Europe
ISSN: 2666-7762
Titre abrégé: Lancet Reg Health Eur
Pays: England
ID NLM: 101777707

Informations de publication

Date de publication:
Aug 2024
Historique:
received: 08 05 2024
revised: 01 06 2024
accepted: 03 06 2024
medline: 22 8 2024
pubmed: 22 8 2024
entrez: 22 8 2024
Statut: epublish

Résumé

Contemporary data have shown a decrease in the ischaemic stroke risk associated with female sex in patients with atrial fibrillation (AF). We evaluated temporal trends in the predictive value of a non-sex CHA The FinACAF study covers all patients with incident AF between 2007 and 2018 in Finland from all levels of care. The CHA We identified 144,879 anticoagulant naïve patients with new-onset AF between 2007 and 2018 (49.9% women; mean age 72.1 years), of whom 3936 (2.7%) experienced ischaemic stroke during one-year follow-up. Based on both continuous and category-based NRIs, the CHA In 2007-2008 (when females had higher AF-related stroke risks than males), the CHA This work was supported by the Aarne Koskelo Foundation, The Finnish Foundation for Cardiovascular Research, The Finnish State Research funding, and Helsinki and Uusimaa Hospital District research fund.

Sections du résumé

Background UNASSIGNED
Contemporary data have shown a decrease in the ischaemic stroke risk associated with female sex in patients with atrial fibrillation (AF). We evaluated temporal trends in the predictive value of a non-sex CHA
Methods UNASSIGNED
The FinACAF study covers all patients with incident AF between 2007 and 2018 in Finland from all levels of care. The CHA
Findings UNASSIGNED
We identified 144,879 anticoagulant naïve patients with new-onset AF between 2007 and 2018 (49.9% women; mean age 72.1 years), of whom 3936 (2.7%) experienced ischaemic stroke during one-year follow-up. Based on both continuous and category-based NRIs, the CHA
Interpretation UNASSIGNED
In 2007-2008 (when females had higher AF-related stroke risks than males), the CHA
Funding UNASSIGNED
This work was supported by the Aarne Koskelo Foundation, The Finnish Foundation for Cardiovascular Research, The Finnish State Research funding, and Helsinki and Uusimaa Hospital District research fund.

Identifiants

pubmed: 39171253
doi: 10.1016/j.lanepe.2024.100967
pii: S2666-7762(24)00134-0
pmc: PMC11337097
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100967

Informations de copyright

© 2024 The Authors.

Déclaration de conflit d'intérêts

KT: Research Grants: The Finnish Foundation for Cardiovascular Research, Aarne and Aili Turunen Foundation and the Finnish State Research Funding GYHL: None. OH: none. JP: Speaker: Bayer, Boehringer-Ingelheim, BMS-Pfizer, Abbott; Advisory board: Portola, Novo Nordisk, Herantis Pharma; Visiting editor: Terve Media; Stock ownership: Vital Signum. PM: Consultant: Roche, BMS-Pfizer-alliance, Novartis Finland, Boehringer Ingelheim, MSD Finland. JHau: Consultant: Research Janssen R&D; Speaker: Bayer Finland. MLi: Speaker: BMS-Pfizer-alliance, Bayer, Boehringer-Ingelheim. JHar: Research grants: The Finnish Foundation for Cardiovascular Research, EU Horizon 2020, EU FP7. Advisory Board Member: BMS-Pfizer-alliance, Novo Nordisk, Amgen. Speaker: Cardiome, Bayer. KEJA: Research grants: The Finnish Foundation for Cardiovascular Research; Speaker: Bayer, Pfizer and Boehringer-Ingelheim. Member in the advisory boards: Bayer, Pfizer and AstraZeneca. MLe: Consultant: BMS-Pfizer-alliance, Bayer, Boehringer-Ingelheim, and MSD; Speaker: BMS-Pfizer-alliance, Bayer, Boehringer Ingelheim, MSD, Terve Media and Orion Pharma. Research grants: Aarne Koskelo Foundation, The Finnish Foundation for Cardiovascular Research, and Helsinki and Uusimaa Hospital District research fund, Boehringer-Ingelheim.

Auteurs

Konsta Teppo (K)

Heart Center, Turku University Hospital and University of Turku, Turku, Finland.

Gregory Yoke Hong Lip (GYH)

Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital, Liverpool, United Kingdom.
Danish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.

Kari Eino Juhani Airaksinen (KEJ)

Heart Center, Turku University Hospital and University of Turku, Turku, Finland.

Olli Halminen (O)

Department of Industrial Engineering and Management, Aalto University, Espoo, Finland.

Jari Haukka (J)

Faculty of Medicine, University of Helsinki, Finland.

Jukka Putaala (J)

Neurology Department, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Pirjo Mustonen (P)

Heart Center, Turku University Hospital and University of Turku, Turku, Finland.

Miika Linna (M)

Department of Industrial Engineering and Management, Aalto University, Espoo, Finland.
University of Eastern Finland, Kuopio, Finland.
Aalto University, Espoo, Finland.

Juha Hartikainen (J)

Heart Center, Kuopio University Hospital and University of Eastern Finland, Finland.

Mika Lehto (M)

Jorvi Hospital, Department of Internal Medicine, Finland.
HUS Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Classifications MeSH