Atria score to predict atrial fibrillation in acute ischemic stroke patients

Hakan Güneş

doi:10.7197/223.vi.521114

TR EN

Akut iskemik inmeli hastalarda atriyal fibrilasyonu öngörmek için atria skoru

Öz

Amaç: Atrial fibrilasyon ile iskemik inme yakından ilişkili olup iskemik inme geçiren hastalarda atriyal fibrilasyon ataklarının normal popülasyona oranla daha fazla olduğu gösterilmiştir. İskemik inme geçiren hastalarda atriyal fibrilasyonu ön gördürücü etkenler birçok çalışmada araştırılmıştır. Bu çalışmanın amacı da iskemik inme hastalarındaki ATRİA skorlama sisteminin atriyal fibrilasyonla ilişkisini ortaya koyabilmektir.

Yöntem: Çalışmaya sinüs ritminde serebrovasküler olay geçiren 104 hasta dahil edildi. Hastalar hastanede yatış esnasında uygulanan 24 saatlik holter EKG takiplerinde atriyal fibrilasyon atağı olanlar ve olmayanlar olarak iki gruba ayrıldı. Tüm hastaların ATRİA skorları hesaplandı.

Bulgular: ATRİA skor ortalaması atriyal fibrilasyon tespit edilen grupta anlamlı oranda yüksek bulundu. (p = 0.001) ATRİA skorunun atriyal fibrilasyonu predikte ettiği cut-off değeri %83.3 sensitivite ve %78.4 spesifite ile 5 bulundu (AUC=0,866; %95 CI, 0.786-0.924, p<0.001). ATRİA skoru ve komponentleri tek değişkenli analizde önemli prognostik öneme sahipti. Çok değişkenli regresyon analizinde, ATRİA skoru ve ejeksiyon fraksiyonun (OR=1.360, 95% CI: 1.090-1.697, p=0.006 ;OR =0.900, 95% CI: 0.834-0.971, p =0.007 sırası ile ) atriyal fibrilasyon atağı ile ilişkili olduğu görüldü.

Sonuç: Sinüs ritminde serebrovasküler olay geçiren hastalarda atriyal fibrilasyon gelişmesi ile ATRİA skoru arasında bağımsız bir ilişki vardır.

Anahtar Kelimeler

ATRİA skoru,atriyal fibrilasyon,iskemik serebrovasküler olay

Atria score to predict atrial fibrillation in acute ischemic stroke patients

Abstract

Objective: Atrial fibrillation is closely associated with ischemic stroke. Ischemic stroke has been shown to be more frequent in patients with atrial fibrillation than the normal population. The predictive factors of atrial fibrillation in patients with ischemic stroke have been investigated in several studies. The aim of this study is to reveal the relationship with atrial fibrillation and ATRIA score in ischemic stroke patients.

Method: 104 patients who suffered a cerebrovascular event in sinus rhythm were included in the study. Patients were divided into two groups as detected or undetected diagnosed atrial fibrillation in 24-hour Holter ECG monitoring applied during hospitalization. The ATRIA risk score was calculated for all patients.

Results: Average of ATRIA score was found to be significantly higher in the group with detected atrial fibrillation (P = 0.001). The optimal cut-off value for ATRIA score to predict atrial fibrillation was >5 with a specificity of 78.4% and a sensitivity of 83.3% (area under the curve 0.866; 95% confidence interval (CI), 0.786–0.924, p<0.001). The ATRIA score and its components had important significance in the univariate analysis. ATRIA score and ejection fraction (OR=1.360, 95% CI: 1.090-1.697, p=0.006; OR =0.900, 95% CI: 0.834-0.971, p =0.007 respectively) were observed to be associated with atrial fibrillation in the multivariate regression analysis.

Conclusions: There is an independent relationship between the ATRIA score and the development of atrial fibrillation, in patients with ischemic stroke in sinus rhythm.

Keywords

Ischemic stroke,atrial fibrillation,ATRIA score

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Hakan Güneş ^*
0000-0003-3853-5046
Türkiye

Yayımlanma Tarihi

28 Mart 2019

Gönderilme Tarihi

1 Şubat 2019

Kabul Tarihi

25 Şubat 2019

Yayımlandığı Sayı

Yıl 2019 Cilt: 41 Sayı: 1

DOI

https://doi.org/10.7197/223.vi.521114

IZ

https://izlik.org/JA94HD94HE

Kaynak Göster

RIS / Bibtex

AMA

1.Güneş H. Atria score to predict atrial fibrillation in acute ischemic stroke patients. CMJ. 2019;41(1):142-149. doi:10.7197/223.vi.521114