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http://dx.doi.org/10.1177/00033197211040348DOI Listing

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Article Synopsis
  • - This study investigated how well the CHADS-VASc-HSF score can predict the severity of coronary artery disease (CAD) and the risk of major adverse cardiovascular events (MACE) in patients with non-ST elevation acute coronary syndrome (NSTE ACS) who don't have atrial fibrillation.
  • - It included 200 patients, primarily male, and categorized them into groups based on their CHADS-VASc-HSF scores; higher scores were associated with more severe CAD as measured by the Syntax score (SS).
  • - The findings showed that the CHADS-VASc-HSF score is a strong predictor for both severe CAD and MACE, with certain cutoff points demonstrating high sensitivity and specificity, highlighting its potential clinical
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CHADS₂ and CHA₂DS₂-VASc scores are widely used in clinical practice and include similar risk factors for the development of coronary artery disease (CAD). It is known that the factors comprising the newly defined CHA₂DS₂-VASC-HSF score promote atherosclerosis and associated with severity of CAD. Objective of the study was to find out the association of the CHA₂DS₂-VASC-HSF score with the severity of CAD in patients with ST elevation myocardial infarction (STEMI).

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CHADS and CHADS-VASc scores have been used to assess the prognostic risk of thromboembolism in non-valvular atrial fibrillation patients. Recent studies have shown the utility of CHADS and CHADS-VASc scores for evaluating the severity of coronary artery disease (CAD). The newly defined CHADS-VASc-HSF score evaluates atherosclerosis and is associated with CAD severity.

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Background: The no-reflow phenomenon (NRP) is a serious complication of primary percutaneous coronary intervention (PPCI) and is an independent predictor of poor prognosis. We aimed to find a simple but effective risk stratification method for the prediction of NRP.

Methods: This retrospective single-center study included 454 consecutive patients diagnosed with acute ST-segment elevation myocardial infarction (STEMI) and treated by PPCI, who were admitted to our emergency department between January 2017 and March 2019.

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