Validation of Biomarker-Based ABCD Score in Atrial Fibrillation Patients with a Non-Gender CHA(2)DS(2)-VASc Score 0-1: A Korean Multi-Center Cohort
DC Field | Value | Language |
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dc.contributor.author | Jung, Moonki | - |
dc.contributor.author | Byeon, Kyeongmin | - |
dc.contributor.author | Kang, Ki-Woon | - |
dc.contributor.author | Park, Yae Min | - |
dc.contributor.author | Hwang, You Mi | - |
dc.contributor.author | Lee, Sung Ho | - |
dc.contributor.author | Jin, Eun-Sun | - |
dc.contributor.author | Roh, Seung-Young | - |
dc.contributor.author | Kim, Jin Seok | - |
dc.contributor.author | Ahn, Jinhee | - |
dc.contributor.author | Lee, So-Ryoung | - |
dc.contributor.author | Choi, Eue-Keun | - |
dc.contributor.author | Ahn, Min-Soo | - |
dc.contributor.author | Lee, Eun Mi | - |
dc.contributor.author | Park, Hwan-Cheol | - |
dc.contributor.author | Lee, Ki Hong | - |
dc.contributor.author | Kim, Min | - |
dc.contributor.author | Choi, Joon Hyouk | - |
dc.contributor.author | Ko, Jum Suk | - |
dc.contributor.author | Kim, Jin Bae | - |
dc.contributor.author | Kim, Changsoo | - |
dc.contributor.author | Lip, Gregory Y. H. | - |
dc.contributor.author | Shin, Seung Yong | - |
dc.date.accessioned | 2023-03-25T05:41:02Z | - |
dc.date.available | 2023-03-25T05:41:02Z | - |
dc.date.created | 2023-03-25 | - |
dc.date.issued | 2022-10 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/87227 | - |
dc.description.abstract | Purpose: Atrial fibrillation (AF) patients with low to intermediate risk, defined as non-gender CHA(2)DS(2)-VASc score of 0-1, are still at risk of stroke. This study verified the usefulness of ABCD score [age (=60 years), B-type natriuretic peptide (BNP) or N-terminal pro-BNP (>= 300 pg/mL), creatinine clearance (<50 mL/min/1.73 m(2)), and dimension of the left atrium (>= 45 mm)] for stroke risk stratification in non-gender CHA(2)DS(2)-VASc score 0-1. Materials and Methods: This multi-center cohort study retrospectively analyzed AF patients with non-gender CHA(2)DS(2)-VASc score 0-1. The primary endpoint was the incidence of stroke with or without antithrombotic therapy (ATT). An ABCD score was validated. Results: Overall, 2694 patients [56.3 +/- 9.5 years; female, 726 (26.9%)] were followed-up for 4.0 +/- 2.8 years. The overall stroke rate was 0.84/100 person-years (P-Y), stratified as follows: 0.46/100 P-Y for an ABCD score of 0; 1.02/100 P-Y for an ABCD score >= 1. The ABCD score was superior to non-gender CHA(2)DS(2)-VASc score in the stroke risk stratification (C-index=0.618, p=0.015; net reclassification improvement=0.576, p=0.040; integrated differential improvement=0.033, p=0.066). ATT was prescribed in 2353 patients (86.5%), and the stroke rate was significantly lower in patients receiving non-vitamin K antagonist oral anticoagulant (NOAC) therapy and an ABCD score >= 1 than in those without ATT (0.44/100 P-Y vs. 1.55/100 P-Y; hazard ratio=0.26, 95% confidence interval 0.11-0.63, p=0.003). Conclusion: The biomarker-based ABCD score demonstrated improved stroke risk stratification in AF patients with non-gender CHA(2)DS(2)-VASc score 0-1. Furthermore, NOAC with an ABCD score >= 1 was associated with significantly lower stroke rate in AF patients with non-gender CHA(2)DS(2)-VASc score 0-1. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | YONSEI UNIV COLL MEDICINE | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.title | Validation of Biomarker-Based ABCD Score in Atrial Fibrillation Patients with a Non-Gender CHA(2)DS(2)-VASc Score 0-1: A Korean Multi-Center Cohort | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000944459400002 | - |
dc.identifier.doi | 10.3349/ymj.2022.0157 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, v.63, no.10, pp.892 - 901 | - |
dc.identifier.kciid | ART002878036 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.scopusid | 2-s2.0-85138966136 | - |
dc.citation.endPage | 901 | - |
dc.citation.startPage | 892 | - |
dc.citation.title | YONSEI MEDICAL JOURNAL | - |
dc.citation.volume | 63 | - |
dc.citation.number | 10 | - |
dc.contributor.affiliatedAuthor | Park, Yae Min | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Atrial fibrillation | - |
dc.subject.keywordAuthor | risk stratification | - |
dc.subject.keywordAuthor | stroke | - |
dc.subject.keywordAuthor | ABCD score | - |
dc.subject.keywordPlus | BRAIN NATRIURETIC PEPTIDE | - |
dc.subject.keywordPlus | NET CLINICAL BENEFIT | - |
dc.subject.keywordPlus | RISK-FACTOR | - |
dc.subject.keywordPlus | ANTITHROMBOTIC THERAPY | - |
dc.subject.keywordPlus | ORAL ANTICOAGULANTS | - |
dc.subject.keywordPlus | PREDICTING STROKE | - |
dc.subject.keywordPlus | APIXABAN | - |
dc.subject.keywordPlus | RIVAROXABAN | - |
dc.subject.keywordPlus | PREVENTION | - |
dc.subject.keywordPlus | DABIGATRAN | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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