Impact of HAT2CH2 Score on the Development of No-Reflow Phenomenon in Patients With ST-Segment Elevation Myocardial Infarction.

Autor:	Harbalıoğlu, Hazar, Genç, Ömer, Alıcı, Gökhan, Quisi, Alaa, Yıldırım, Abdullah
Předmět:	PERCUTANEOUS coronary intervention CONFIDENCE intervals MULTIVARIATE analysis AGE distribution MYOCARDIAL infarction CARDIAC contraction RETROSPECTIVE studies ST elevation myocardial infarction CORONARY circulation RISK assessment CORONARY angiography BLOOD circulation DESCRIPTIVE statistics LOGISTIC regression analysis ODDS ratio RECEIVER operating characteristic curves SENSITIVITY & specificity (Statistics) DATA analysis software
Zdroj:	Angiology; Jan2024, Vol. 75 Issue 1, p44-53, 10p
Abstrakt:	The HAT2CH2 score [Hypertension (1 point), Age > 75 years (1 point), Stroke/Transient ischemic attack (2 points), Chronic obstructive pulmonary disease (1 point), and Heart failure (2 points)] was originally developed to predict the occurrence of new-onset atrial fibrillation. The aim of the present study was to examine whether this score could predict the development of no-reflow phenomenon (NR) in ST-segment elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (pPCI). Patients (n = 1552) with STEMI were consecutively enrolled in this single-center retrospective study. The SYNTAX score (SXscore) and HAT2CH2 score were calculated. The presence of thrombolysis in myocardial infarction (TIMI) score ≤2, without significant residual stenosis and mechanical obstruction, indicated the presence of NR. The HAT2CH2 score was significantly higher in the NR (+) group compared with the NR (−) group [2.29 ± 1.43 vs 1.46 ± 1.24, p <.001]. In multivariable logistic regression analysis, the HAT2CH2 score [OR = 1.585, p <.001] and SXscore [OR = 1.028, p =.017] were found to be independent predictors of NR. Receiver operating characteristic curve analysis showed that the HAT2CH2 score with a cutoff value of >2 determined NR, with 50.2% sensitivity and 79.4% specificity (AUC =.669, p <.001). In conclusion, the HAT2CH2 score may facilitate risk stratification in estimating NR in STEMI patients undergoing pPCI. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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