TY - JOUR
T1 - Predicting the Likelihood for Severe CAD and CABG Indication on Elective Patients
T2 - 2nd International Conference on Fisheries and Marine Science, InCoFiMS 2019
AU - Al-Farabi, M. J.
AU - Semita, I. G.P.G.
AU - Shonafi, K. A.
AU - Ramadhiani, R.
AU - Jovie, B.
AU - Andrianto, A.
N1 - Publisher Copyright:
© Published under licence by IOP Publishing Ltd.
PY - 2020/2/24
Y1 - 2020/2/24
N2 - Abundant scoring systems are available to assess the severity of coronary artery disease (CAD) and its intervention. However, the majority of them require advanced technologies. CHA2DS2-VASc-HSF is a novel and simple risk scoring, easily used for screening in primary care level. We hypothesize that CHA2DS2-VASc-HSF is predictive for severe CAD and indicative for coronary artery bypass grafting (CABG). Additionally, we compared its predictive value with CHA2DS2 and CHA2DS2-VASc score. A total of 210 consecutive patients who underwent elective coronary angiography were enrolled in our study. Anthropometric, laboratory, angiographic findings, and patient history were obtained from medical records and used to calculate CHA2DS2, CHA2DS2-VASc, and CHA2DS2-VASc-HSF score. Severe CAD is defined as Gensini Score >20. CABG indication was defined based on Class I recommendation from the American Heart Association (AHA). Statistical analyses were done using SPSS 25.0. Receiver operating characteristic (ROC) curve analysis showed the CHA2DS2 score (AUC [Area Under the Curve], 0.630; 95% CI, 0.555-0.706; p = 0.001), CHA2DS2-VASc score (AUC, 0.680; 95% CI, 0.608-0.752; p=0.000), and CHA2DS2-VASc-HSF score (AUC, 0.785; 95% CI, 0.723-0.846; p=0.000) were predictive of severe CAD. CHA2DS2-VASc-HSF score (AUC, 0.841; 95% CI, 0.711-0.971; p=0.00) were predictive of CABG indication. The CHA2DS2-VASc-HSF score provides the highest predictive value for severe CAD and CABG indication compared to the CHA2DS2 and CHA2DS2-VASc score, suggesting that CHA2DS2-VASc-HSF score may be used in primary care settings to suggest referral for coronary angiography and predict CABG possibilities.
AB - Abundant scoring systems are available to assess the severity of coronary artery disease (CAD) and its intervention. However, the majority of them require advanced technologies. CHA2DS2-VASc-HSF is a novel and simple risk scoring, easily used for screening in primary care level. We hypothesize that CHA2DS2-VASc-HSF is predictive for severe CAD and indicative for coronary artery bypass grafting (CABG). Additionally, we compared its predictive value with CHA2DS2 and CHA2DS2-VASc score. A total of 210 consecutive patients who underwent elective coronary angiography were enrolled in our study. Anthropometric, laboratory, angiographic findings, and patient history were obtained from medical records and used to calculate CHA2DS2, CHA2DS2-VASc, and CHA2DS2-VASc-HSF score. Severe CAD is defined as Gensini Score >20. CABG indication was defined based on Class I recommendation from the American Heart Association (AHA). Statistical analyses were done using SPSS 25.0. Receiver operating characteristic (ROC) curve analysis showed the CHA2DS2 score (AUC [Area Under the Curve], 0.630; 95% CI, 0.555-0.706; p = 0.001), CHA2DS2-VASc score (AUC, 0.680; 95% CI, 0.608-0.752; p=0.000), and CHA2DS2-VASc-HSF score (AUC, 0.785; 95% CI, 0.723-0.846; p=0.000) were predictive of severe CAD. CHA2DS2-VASc-HSF score (AUC, 0.841; 95% CI, 0.711-0.971; p=0.00) were predictive of CABG indication. The CHA2DS2-VASc-HSF score provides the highest predictive value for severe CAD and CABG indication compared to the CHA2DS2 and CHA2DS2-VASc score, suggesting that CHA2DS2-VASc-HSF score may be used in primary care settings to suggest referral for coronary angiography and predict CABG possibilities.
UR - http://www.scopus.com/inward/record.url?scp=85081177175&partnerID=8YFLogxK
U2 - 10.1088/1755-1315/441/1/012195
DO - 10.1088/1755-1315/441/1/012195
M3 - Conference article
AN - SCOPUS:85081177175
SN - 1755-1307
VL - 441
JO - IOP Conference Series: Earth and Environmental Science
JF - IOP Conference Series: Earth and Environmental Science
IS - 1
M1 - 012195
Y2 - 26 September 2019
ER -