AN ALTERNATIVE EQUATION TO PREDICT STROKE RISK IN ATRIAL FIBRILLATION

• Published in: Journal of the American College of Cardiology Vol. 71; no. 11; p. A2628
• Main Authors: Hakki, A-Hamid I., Stein, Bernardo
• Format: Journal Article
• Language: English
• Published: New York Elsevier Inc 10-03-2018; Elsevier Limited
• Subjects: Cardiac arrhythmia; Cardiology; Decision making; Fibrillation; Health risks; Heart attacks; Stroke
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/S0735-1097(18)33169-3

Methods An alternative acronym to predict SR is presented that needs no scores or tables, has no zero score, is not hard to remember and may be more meaningful to patients and physicians prior to shared decision making regarding AC: (AFIB)2 + S4 + paf + 0.1, where A is age 75 or greater, F is heart failure, I is insulin deficiency or diabetes, B is blood pressure or hypertension, S is prior stroke or transient ischemic attack, p is plaque of the aorta, prior myocardial infarction or peripheral arterial disease, a is age 65 to 74 and f is female gender. Conclusion Compared to the CHA2DS2 VASc score, (AFIB)2 + S4 + paf + 0.1 provides SR that is numerically closer when applied to the Nationwide Danish Registry, has an acronym that is related to AF, requires no tables, has no zero stroke risk and facilitates shared decision making with patients regarding AC for AF.