Using the MB-LATER score for predicting arrhythmia outcome after catheter ablation for atrial fibrillation: The Guangzhou atrial fibrillation project
Using the MB-LATER score for predicting arrhythmia outcome after catheter ablation for atrial fibrillation: The Guangzhou atrial fibrillation project
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DOI：
10.1111/ijcp.13247
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发表时间：
2018-11-01
影响因子：
2.6
通讯作者：
Lip, Gregory Y. H.
中科院分区：
文献类型：
--
作者：
Deng, Hai;Shantsila, Alena;Lip, Gregory Y. H.
简介：已有几种临床评分系统用于预测房颤导管消融术（CA）的心律失常结局，但哪种评分系统更好尚不清楚。简单临床风险评分（任何临床医生都可以在日常诊所中使用）可以帮助评估CA后AF复发的可能性，最近描述了简单的MB-LATER评分。（HATCH、CHADS（2）、CHA（2）、DS（2）-VASc、BASE-AF（2）、APPLE、CAAP-AF和MB-LATER）。方法和结果：最终分析入组了2011-2015年期间接受CA的1410例AF患者（平均年龄57.21 ± 1.6岁; 68%为男性）。记录患者出院前、术后1、3、6个月及以后每6个月的症状、12导联心电图和霍尔特心电图，随访平均20.7 ± 8.8个月，复发365例（25.9%）。所有测试的分数都是房颤复发的预测因子，曲线下面积（AUC）分别为0.58、0.57、0.57、0.75、0.74、0.71和0.73（均P
Introduction: Several clinical scoring systems have been derived to predict the arrhythmia outcome of catheter ablation (CA) for atrial fibrillation (AF) but which is better is not clear. Simple clinical risk scores (that any clinician can use in the everyday clinic) can help assess the likelihood of recurrence of AF following CA and the simple MB-LATER score has recently been described.We compare the predictive ability of seven existing clinical scoring systems (HATCH, CHADS(2), CHA(2)DS(2)-VASc, BASE-AF(2), APPLE, CAAP-AF, and MB-LATER) in a Chinese cohort of AF patients undergoing CA.Methods and Results: 1410 patients (mean age 57.21 +/- 1.6years; 68% male) with AF undergoing CA during 2011-2015 were enrolled in final analysis. Symptoms, 12 lead ECG and Holter ECGs were recorded before discharge, and at 1, 3, 6months, and every 6months thereafter to detect the arrhythmia relapse.During a mean 20.7 +/- 8.8-month follow-up, recurrence occurred in 365 patients(25.9%). All tested scores were predictors of AF recurrence with areas under the curve (AUCs) of 0.58, 0.57, 0.57, 0.75, 0.74, 0.71, and 0.73 respectively (all P