The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention
Objectives: To determine the role of CHADS-VASc Score in predicting No Reflow phenomenon in STEMI patients undergoing primary PCI. Study Design: Analytical cross-sectional study. Place and Duration of Study: This study was carried out at a Tertiary Cardiac Care Center from Feb to May 2022....
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Army Medical College Rawalpindi
2022-11-01
|
| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://pafmj.org/index.php/PAFMJ/article/view/9544 |
| _version_ | 1797938513740562432 |
|---|---|
| author | Ali Farahe Naseer Ahmed Samore Azhar Ali Hafiz Muhammad Shafique Muhammad Naeem Tariq Saddaf Shabbir Javeria Kamran Naseem Azad |
| author_facet | Ali Farahe Naseer Ahmed Samore Azhar Ali Hafiz Muhammad Shafique Muhammad Naeem Tariq Saddaf Shabbir Javeria Kamran Naseem Azad |
| author_sort | Ali Farahe |
| collection | DOAJ |
| description |
Objectives: To determine the role of CHADS-VASc Score in predicting No Reflow phenomenon in STEMI patients undergoing primary PCI.
Study Design: Analytical cross-sectional study.
Place and Duration of Study: This study was carried out at a Tertiary Cardiac Care Center from Feb to May 2022.
Methodology: A total of (n = 320) patients who underwent PPCI at Armed Forces Institute of Cardiology from 4th February to 3rd May 2022 were enrolled in this study. Patients were divided into 2 groups, Comparision group with no NRP and NRP group. Descriptive statistics was run to present the categorical data in frequencies and percentages and continuous data in Mean±SD. Chi square test was applied to compare both groups regarding categorical and continuous variables. CHADS-VASc score was also compared in both groups.
Results: Out of (n=320) patients, 80(25%) patients developed NRP. Age, Diabetes, LV EF, history of stroke or TIA, peripheral arterial disease, TIMI thrombus grade, total stented length and CHADS-VASc score were found to be significantly associated with NRP. Binary logistic regression analysis revealed diabetes, LV EF, TIMI thrombus grade, total stented length and CHADSVaSc score to be independent predictors of NRP.ROC analysis revealed a cutoff CHADS-VaSc score of 3 to be a good predictor of NRP (sensitivity 65% and specificity 82%).
Conclusion: CHADS-VASc score can be an important pre PCI tool to predict NRP during primary PCI.
|
| first_indexed | 2024-04-10T19:00:52Z |
| format | Article |
| id | doaj.art-1f1b90197b2f4a9fa3f168bb25accff9 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-04-10T19:00:52Z |
| publishDate | 2022-11-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-1f1b90197b2f4a9fa3f168bb25accff92023-01-31T08:23:03ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422022-11-0172SUPPL-310.51253/pafmj.v72iSUPPL-3.9544The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary InterventionAli Farahe0Naseer Ahmed Samore1Azhar Ali2Hafiz Muhammad Shafique3Muhammad Naeem Tariq4Saddaf Shabbir5Javeria Kamran6Naseem Azad7Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan Objectives: To determine the role of CHADS-VASc Score in predicting No Reflow phenomenon in STEMI patients undergoing primary PCI. Study Design: Analytical cross-sectional study. Place and Duration of Study: This study was carried out at a Tertiary Cardiac Care Center from Feb to May 2022. Methodology: A total of (n = 320) patients who underwent PPCI at Armed Forces Institute of Cardiology from 4th February to 3rd May 2022 were enrolled in this study. Patients were divided into 2 groups, Comparision group with no NRP and NRP group. Descriptive statistics was run to present the categorical data in frequencies and percentages and continuous data in Mean±SD. Chi square test was applied to compare both groups regarding categorical and continuous variables. CHADS-VASc score was also compared in both groups. Results: Out of (n=320) patients, 80(25%) patients developed NRP. Age, Diabetes, LV EF, history of stroke or TIA, peripheral arterial disease, TIMI thrombus grade, total stented length and CHADS-VASc score were found to be significantly associated with NRP. Binary logistic regression analysis revealed diabetes, LV EF, TIMI thrombus grade, total stented length and CHADSVaSc score to be independent predictors of NRP.ROC analysis revealed a cutoff CHADS-VaSc score of 3 to be a good predictor of NRP (sensitivity 65% and specificity 82%). Conclusion: CHADS-VASc score can be an important pre PCI tool to predict NRP during primary PCI. https://pafmj.org/index.php/PAFMJ/article/view/9544CHADS-VASc scoreNo-Reflow PhenomenaPrimary PCI |
| spellingShingle | Ali Farahe Naseer Ahmed Samore Azhar Ali Hafiz Muhammad Shafique Muhammad Naeem Tariq Saddaf Shabbir Javeria Kamran Naseem Azad The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention Pakistan Armed Forces Medical Journal CHADS-VASc score No-Reflow Phenomena Primary PCI |
| title | The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention |
| title_full | The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention |
| title_fullStr | The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention |
| title_full_unstemmed | The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention |
| title_short | The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention |
| title_sort | predictive value of chads vasc score in no reflow phenomenon in primary percutaneous coronary intervention |
| topic | CHADS-VASc score No-Reflow Phenomena Primary PCI |
| url | https://pafmj.org/index.php/PAFMJ/article/view/9544 |
| work_keys_str_mv | AT alifarahe thepredictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT naseerahmedsamore thepredictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT azharali thepredictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT hafizmuhammadshafique thepredictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT muhammadnaeemtariq thepredictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT saddafshabbir thepredictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT javeriakamran thepredictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT naseemazad thepredictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT alifarahe predictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT naseerahmedsamore predictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT azharali predictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT hafizmuhammadshafique predictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT muhammadnaeemtariq predictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT saddafshabbir predictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT javeriakamran predictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention AT naseemazad predictivevalueofchadsvascscoreinnoreflowphenomenoninprimarypercutaneouscoronaryintervention |