The role of HATCH score in predicting the success rate of sinus rhythm following electrical cardioversion of atrial fibrillation
The role of HATCH score in predicting the success rate of sinus rhythm following electrical cardioversion of atrial fibrillation
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DOI：
10.5603/kp.a2016.0044
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发表时间：
2016-01-01
影响因子：
3.3
通讯作者：
Tuluce, Selcen
中科院分区：
文献类型：
--
作者：
Emren, Sadik Volkan;Kocabas, Ugur;Tuluce, Selcen
背景资料：HATCH评分可预测AF患者在自发或药物转复为窦性心律一年后持续性和永久性房颤（AF）的发展。然而，HATCH评分是否可预测接受过AF电复律（EC）的患者在早期阶段的短期成功仍是未知数。目的：本研究评估HATCH评分是否预测AF患者EC的短期成功。该研究纳入了年龄在18岁及以上的患者，这些患者在2011年12月至2013年10月期间因AF持续不到12个月而接受了EC。计算所有患者的HATCH评分。首字母缩写HATCH代表高血压、年龄（75岁以上）、短暂性脑缺血发作或中风、慢性阻塞性肺病和心力衰竭。该评分系统奖励两个点心力衰竭和短暂性脑缺血发作或中风和一个点为其余items.Results：该研究包括227例患者和短期EC是成功的163例。成功或不成功的EC患者的平均HATCH评分分别为1.3 +/- 1.4和2.9 +/- 1.4（p < 0.001）。受试者操作特征分析中HATCH评分曲线下面积为（AUC）0.792（95% CI 0.727-0.857，p < 0.001）。两个及以上的HATCH评分产生77%的敏感性，62%的特异性，56%的阳性预测值，和87%的阴性预测值在预测不成功的cardioversion.Conclusions：HATCH评分是有用的预测短期成功的EC在早期阶段的AF患者，为他们计划使用的节奏控制策略。
Background: The HATCH score predicts the development of persistent and permanent atrial fibrillation (AF) one year after spontaneous or pharmacological conversion to sinus rhythm in patients with AF. However, it remains unknown whether HATCH score predicts short-term success of the procedure at early stages for patients who have undergone electrical cardioversion (EC) for AF.Aim: The present study evaluated whether HATCH score predicts short-term success of EC in patients with AF.Methods: The study included patients aged 18 years and over, who had undergone EC due to AF lasting less than 12 months, between December 2011 and October 2013. HATCH score was calculated for all patients. The acronym HATCH stands for Hypertension, Age (above 75 years), Transient ischaemic attack or stroke, Chronic obstructive pulmonary disease, and Heart failure. This scoring system awards two points for heart failure and transient ischaemic attack or stroke and one point for the remaining items.Results: The study included 227 patients and short-term EC was successful in 163 of the cases. The mean HATCH scores of the patients who had undergone successful or unsuccessful EC were 1.3 +/- 1.4 and 2.9 +/- 1.4, respectively (p < 0.001). The area of the HATCH score under the curve in receiver operating characteristics analysis was (AUC) 0.792 (95% CI 0.727-0.857, p < 0.001). A HATCH score of two and above yielded 77% sensitivity, 62% specificity, 56% positive predictive value, and 87% negative predictive value in predicting unsuccessful cardioversion.Conclusions: HATCH score is useful in predicting short-term success of EC at early stages for patients with AF, for whom the use of a rhythm-control strategy is planned.