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CHA(2)DS(2)-VASc Score in the Prediction of Ischemic Stroke in Patients after Radiofrequency Catheter Ablation of Typical Atrial Flutter

DC Field Value Language
dc.contributor.author김태훈-
dc.contributor.author박희남-
dc.contributor.author송창호-
dc.contributor.author엄재선-
dc.contributor.author이문형-
dc.contributor.author정보영-
dc.contributor.author진무년-
dc.date.accessioned2018-08-28T16:58:36Z-
dc.date.available2018-08-28T16:58:36Z-
dc.date.issued2018-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/162129-
dc.description.abstractPURPOSE: Despite undergoing successful catheter ablation of typical atrial flutter (AFL), patients remain at increased risk for ischemic stroke. However, data on risk prediction tools for the development of stroke after AFL ablation are lacking. This study investigates whether CHA(2)DS(2)-VASc score is useful for predicting ischemic stroke after successful ablation of typical AFL. MATERIALS AND METHODS: A total of 293 patients (236 men, mean age 56.1+/-13.5 years) who underwent successful radiofrequency catheter ablation for typical AFL were included in this study. The clinical end point was occurrence of ischemic stroke during follow-up after AFL ablation. RESULTS: During the follow-up period (60.8+/-45.9 months), ischemic stroke occurred in 18 (6%) patients at a median of 34 months (interquartile range, 13-65 months). CHA(2)DS(2)-VASc score [hazard ratio 2.104; 95% confidence interval (CI), 1.624-2.726; p<0.001] was an independent predictor for the occurrence of stroke after AFL ablation. The area under the receiver operating characteristic curve for CHA(2)DS(2)-VASc score was 0.798 (95% CI, 0.691-0.904). The CHA(2)DS(2)-VASc score could be used to stratify patients into two groups with different incidences of ischemic stroke (1.6% vs. 14.4%, p<0.001) at a cutoff value of 2. CONCLUSION: CHA(2)DS(2)-VASc score is useful in a prediction model for the risk of stroke after catheter ablation of typical AFL.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherYonsei University-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESH80 and over Aged-
dc.subject.MESHAtrial Flutter/*surgery-
dc.subject.MESHBrain Ischemia/epidemiology/*etiology-
dc.subject.MESHCatheter Ablation/*adverse effects-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostoperative Complications/*epidemiology-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHPrognosis-
dc.subject.MESHProportional Hazards Models-
dc.subject.MESHROC Curve-
dc.subject.MESHRisk Assessment/*methods-
dc.subject.MESHSeoul/epidemiology-
dc.subject.MESHStroke/epidemiology/*etiology-
dc.subject.MESHTreatment Outcome-
dc.titleCHA(2)DS(2)-VASc Score in the Prediction of Ischemic Stroke in Patients after Radiofrequency Catheter Ablation of Typical Atrial Flutter-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorMoo Nyun Jin-
dc.contributor.googleauthorChangho Song-
dc.contributor.googleauthorTae Hoon Kim-
dc.contributor.googleauthorJae Sun Uhm-
dc.contributor.googleauthorHui Nam Pak-
dc.contributor.googleauthorMoon Hyoung Lee-
dc.contributor.googleauthorBoyoung Joung-
dc.identifier.doi10.3349/ymj.2018.59.2.236-
dc.contributor.localIdA01085-
dc.contributor.localIdA01776-
dc.contributor.localIdA02071-
dc.contributor.localIdA02337-
dc.contributor.localIdA02766-
dc.contributor.localIdA03609-
dc.contributor.localIdA03980-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid29436191-
dc.subject.keywordAtrial flutter-
dc.subject.keywordCHA(2)DS(2)-VASc score-
dc.subject.keywordatrial fibrillation-
dc.subject.keywordcatheter ablation-
dc.subject.keywordstroke-
dc.contributor.alternativeNameKim, Tae Hoon-
dc.contributor.alternativeNamePak, Hui Nam-
dc.contributor.alternativeNameSong, Chang Ho-
dc.contributor.alternativeNameUhm, Jae Sun-
dc.contributor.alternativeNameLee, Moon Hyoung-
dc.contributor.alternativeNameJoung, Bo Young-
dc.contributor.alternativeNameJin, Moo Nyun-
dc.contributor.affiliatedAuthorKim, Tae-Hoon-
dc.contributor.affiliatedAuthorPak, Hui Nam-
dc.contributor.affiliatedAuthorSong, Chang Ho-
dc.contributor.affiliatedAuthorUhm, Jae Sun-
dc.contributor.affiliatedAuthorLee, Moon Hyoung-
dc.contributor.affiliatedAuthorJoung, Bo Young-
dc.contributor.affiliatedAuthorJin, Moo Nyun-
dc.contributor.affiliatedAuthor김태훈-
dc.contributor.affiliatedAuthor박희남-
dc.contributor.affiliatedAuthor송창호-
dc.contributor.affiliatedAuthor엄재선-
dc.contributor.affiliatedAuthor이문형-
dc.contributor.affiliatedAuthor정보영-
dc.contributor.affiliatedAuthor진무년-
dc.citation.volume59-
dc.citation.number2-
dc.citation.startPage236-
dc.citation.endPage242-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.59(2) : 236-242, 2018-
dc.identifier.rimsid59718-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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