Anticoagulant Therapy in Atrial Fibrillation for Stroke Prevention: Assessment of Agreement Between Clinicians' Decision and CHA2DS2-VASc and HAS-BLED Scores

High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension
Marzieh Balaghi-InalouSasan Andalib

Abstract

To prevent stroke, anticoagulants should be administered after calculation of CHA2DS2-VASc and HAS-BLED scores in patients with Atrial Fibrillation (AF); nonetheless, these scores are sometimes neglected in clinical settings. The present study was designed to assess agreement of anticoagulant therapy according to clinicians and CHA2DS2-VASc and HAS-BLED scores in Iranian AF patients in Moddares Hospital. AF patients were diagnosed according to clinical history, clinical examination, and electrocardiogram. Data including the anticoagulant prescription according to clinicians were recorded. CHA2DS2-VASc and HAS-BLED scores were then calculated for each patient. Agreement of anticoagulant therapy according to clinicians and CHA2DS2-VASc and HAS-BLED scores was analyzed using Cohen's kappa coefficient. 97.5% of the patients (n = 117) were appropriately (according CHA2DS2-VASc and HAS-BLED scores) treated with anticoagulants by clinicians, notwithstanding a 2.5% of patients with inappropriate anticoagulant therapy (n = 3). The Cohen's kappa coefficient was 0.81 (P = 0.0). The findings of the present study suggest an almost perfect agreement between anticoagulant therapy according to clinicians and that according to CHA2DS2-VASc and ...Continue Reading

References

Jul 1, 1992·Computers in Biology and Medicine·L Cyr, K Francis
Aug 1, 1991·Stroke; a Journal of Cerebral Circulation·P A WolfW B Kannel
Jun 13, 2001·JAMA : the Journal of the American Medical Association·B F GageM J Radford
Mar 11, 2006·Stroke; a Journal of Cerebral Circulation·Elena Birman-DeychBrian F Gage
May 26, 2006·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiroshi InoueKatsusuke Yano
Apr 12, 2008·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Alexandre MeiltzUNKNOWN Association of Cardiologists of the Canton of Geneva
Apr 6, 2017·Expert Reviews in Molecular Medicine·Sasan AndalibAlbert Gjedde

❮ Previous
Next ❯

Citations

Dec 29, 2020·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Eyob Alemayehu GebreyohannesKenneth Lee
Mar 21, 2021·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Kirolos BarssoumMohan Rao

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.