Abstract:

Purpose: CHA2DS2-VASc and ATRIA scores are a valid, practical method used in the risk classification of thrombembolic complications associated with atrial fibrilation. This study aimed at evaluating the use of CHA2DS2-VASC and ATRIA scores in front-view in high-risk patients with coronary artery disease. Patients and Method: The study included 432 patients followed by the diagnosis of ST elevation myocardial infarction in a university medical faculty between May 2015 and January 2016. Basal demographic characteristics of all patients were assessed by the ATRIA, CHA2DS2-VASC and SYNTAX scores. Patients are divided into two groups according to the low and medium-high SYNTAX score. Results: 20% of patients had a medium-high SYNTAX score and 25.9% were female. The average age of patients was 63.9±13.7 (28-91) The average CHA2DS2-VASC (2,0±1,4 and 2,4±1,5; p=0,014) and ATRIA (3,2±2,8 and 4,2±2,8; p=0,009) in patients with a medium-high SYNTAX score were significantly higher compared to patients with a low SYNTAX group. The correlation analysis found a positive correlation between the SYNTAX score and the CHA2DS2-VASC and the ATRIA score. In the single regression analysis, the CHA2DS2-VASC and ATRIA scores were predicted for patients with a medium-high SYNTAX score. The result: ATRIA and CHA2DS2-VASc scores are rapidly evaluated scores at the head of bed, which can be used in the coronary artery spread. It may be recommended to use STEMI in the assessment of high-risk patients.

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