CHARGE-AF:预测心房颤动的有用分数?

IF 2.4 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reviews Pub Date : 2023-01-01 DOI:10.2174/1573403X18666220901102557
Christos Goudis, Stylianos Daios, Fotios Dimitriadis, Tong Liu
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引用次数: 0

摘要

心房颤动(AF)是临床上最常见的心律失常,与发病率和死亡率的增加有关。新发性房颤的各种预测评分已经被提出,但到目前为止,还没有一种在临床实践中得到广泛应用。CHARGE-AF评分是从三个大队列(社区动脉粥样硬化风险研究、心血管健康研究和弗雷明汉心脏研究)的不同人群中得出的。一个简单的5年预测模型包括年龄、种族、身高、体重、收缩压和舒张压、当前吸烟、抗高血压药物的使用、糖尿病、心肌梗死和心力衰竭史等变量。最近的研究报告称,CHARGE-AF评分对发生的房颤有很好的辨别力,似乎是这种心律失常的一个很有前途的预测模型。新的AF检测筛查工具(智能手机应用程序、智能手表)正在迅速发展。因此,CHARGE-AF评分在临床实践中的广泛应用,以及移动健康技术和智能手表的即将使用,可能会带来更好的AF预测和充分的中风预防,尤其是在高危患者中。
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CHARGE-AF: A Useful Score For Atrial Fibrillation Prediction?

Atrial fibrillation (AF) is the commonest arrhythmia in clinical practice and is associated with increased morbidity and mortality. Various predictive scores for new-onset AF have been proposed, but so far, none have been widely used in clinical practice. CHARGE-AF score was developed from a pooled diverse population from three large cohorts (Atherosclerosis Risk in Communities study, Cardiovascular Health Study and Framingham Heart Study). A simple 5-year predictive model includes the variables of age, race, height, weight, systolic and diastolic blood pressure, current smoking, use of antihypertensive medication, diabetes mellitus, history of myocardial infarction and heart failure. Recent studies report that the CHARGE-AF score has good discrimination for incident AF and seems to be a promising prediction model for this arrhythmia. New screening tools (smartphone apps, smartwatches) are rapidly developing for AF detection. Therefore, the wide application of the CHARGE-AF score in clinical practice and the upcoming usage of mobile health technologies and smartwatches may result in better AF prediction and adequate stroke prevention, especially in high-risk patients.

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来源期刊
Current Cardiology Reviews
Current Cardiology Reviews CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
10.50%
发文量
117
期刊介绍: Current Cardiology Reviews publishes frontier reviews of high quality on all the latest advances on the practical and clinical approach to the diagnosis and treatment of cardiovascular disease. All relevant areas are covered by the journal including arrhythmia, congestive heart failure, cardiomyopathy, congenital heart disease, drugs, methodology, pacing, and preventive cardiology. The journal is essential reading for all researchers and clinicians in cardiology.
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