Abstract
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, CHADS2 , CHA2 DS2 -VASc, BASE-AF2 , APPLE, CAAP-AF, and MB-LATER) in a Chinese cohort of AF patients undergoing CA. 1410 patients (mean age 57.2 ± 11.6 years; 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, 6 months, and every 6 months 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 < 0.01). Compared to all other scores, the MB-LATER score showed improved reclassification (NRI range 30%-82.6%, P < 0.01) and discrimination indexe...Continue Reading
References
Nov 14, 2006·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Andrew J Vickers, Elena B Elkin
Jun 15, 2007·Statistics in Medicine·Michael J PencinaRamachandran S Vasan
Feb 23, 2010·Journal of the American College of Cardiology·Cees B de VosHarry J G M Crijns
Jul 12, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Lesley A StevensPeter A McCullough
Jun 15, 2011·Journal of Cardiovascular Electrophysiology·Yaariv KhaykinAtul Verma
Mar 6, 2012·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Hugh CalkinsUNKNOWN Heart Rhythm Society Task Force on Catheter and Surgical Ablation of Atrial Fibrillation
Mar 21, 2012·Circulation·Hugh Calkins
May 26, 2012·International Journal of Cardiology·F D'AscenzoF Gaita
Jun 14, 2013·Circulation Journal : Official Journal of the Japanese Circulation Society·Maciej WójcikThomas Neumann
Sep 26, 2013·International Journal of Cardiology·Uğur CanpolatAli Oto
Oct 22, 2013·Cardiology Journal·Piotr LodzińskiGrzegorz Opolski
Jun 3, 2014·Annals of Internal Medicine·Sana M Al-KhatibGillian D Sanders
Jun 21, 2014·The American Journal of Cardiology·Prabhat KumarAnil K Gehi
Dec 30, 2014·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Victoria JacobsT Jared Bunch
Apr 8, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Ke ChenChangsheng Ma
Apr 17, 2015·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Jelena KornejAndreas Bollmann
Aug 19, 2015·Circulation. Arrhythmia and Electrophysiology·Kelvin C K WongTimothy R Betts
Sep 9, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Shinsuke MiyazakiYoshito Iesaka
Mar 13, 2016·Pacing and Clinical Electrophysiology : PACE·Zhiwei ZhangTong Liu
Apr 5, 2016·The New England Journal of Medicine·Karl-Heinz KuckUNKNOWN FIRE AND ICE Investigators
Oct 26, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Roger A WinkleRob A Patrawala
Nov 4, 2016·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·Paulus KirchhofKatja Zeppenfeld
Dec 13, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Thomas PambrunJean-Paul Albenque
Jan 11, 2017·Medicine·Kazuyoshi SuenariShih-Ann Chen
Jan 14, 2017·PloS One·Jelena KornejAndreas Bollmann
Jan 21, 2017·Scientific Reports·Nebojša MujovićTatjana S Potpara
May 17, 2017·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Hugh CalkinsTeiichi Yamane
Citations
Dec 24, 2018·Clinical Cardiology·Falco KosichJelena Kornej
May 3, 2019·Pacing and Clinical Electrophysiology : PACE·Wei-Chieh LeeMien-Cheng Chen
Jan 15, 2020·European Cardiology·Iskren GarvanskiMikhail Matveev
Apr 1, 2020·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·Janine DretzkeYemisi Takwoingi
Jan 5, 2021·Heart and Vessels·Zhi-Jie MaoZhou-Qing Huang