PMID- 28627231 OWN - NLM STAT- MEDLINE DCOM- 20180827 LR - 20200225 IS - 1938-2723 (Electronic) IS - 1076-0296 (Print) IS - 1076-0296 (Linking) VI - 24 IP - 2 DP - 2018 Mar TI - A Novel Risk Scoring System to Predict Cardiovascular Death in Patients With Acute Myocardial Infarction: CHA(2)DS(2)-VASc-CF Score. PG - 273-278 LID - 10.1177/1076029617715118 [doi] AB - The present study aimed to determine the long-term prognostic validity of the CHA(2)DS(2)-VASc score in patients with acute myocardial infarction (AMI). In addition, we formulated a novel scoring system, the CHA(2)DS(2)-VASc-CF (which includes cigarette smoking and a family history of coronary artery disease as risk factors). This study included 4373 consecutive patients with AMI who presented to the emergency department of our hospital and underwent cardiac catheterization procedures between December 2009 and September 2016. Among these patients, 1427 were diagnosed with ST elevation myocardial infarction (STEMI) and 2946 were diagnosed with non-STEMI. The study included 4373 patients. The study population was divided into 2 groups according to the occurrence of cardiovascular death during the follow-up period. Multivariate logistic regression analysis showed that the CHA(2)DS(2)-VASc-CF score, CHA(2)DS(2)-VASc score, major adverse cardiac events, current cigarette smoking, older age, hypertension, and family history of coronary artery disease were significantly higher, and that the left ventricular ejection fraction and glomerular filtration rate were significantly lower in the cardiovascular death (+) group. Using a cutoff score of >3 for the CHA(2)DS(2)-VASc-CF score, long-term cardiovascular death was predicted with a sensitivity of 78.4% and specificity of 76.4%. The CHA(2)DS(2)-VASc-CF score is suitable for use in all patients with AMI, regardless of the type of treatment, presence of atrial fibrillation, and type of AMI. This risk score, which is easy to calculate, provides important prognostic data. In the future, we think that interventional cardiologists will be able to use this novel scoring system to identify patients with a high risk of long-term cardiovascular death. FAU - Kundi, Harun AU - Kundi H AD - 1 Cardiology Department, Ankara Numune Education and Research Hospital, Ankara, Turkey. FAU - Kiziltunc, Emrullah AU - Kiziltunc E AD - 1 Cardiology Department, Ankara Numune Education and Research Hospital, Ankara, Turkey. FAU - Korkmaz, Ahmet AU - Korkmaz A AD - 1 Cardiology Department, Ankara Numune Education and Research Hospital, Ankara, Turkey. FAU - Cicek, Gokhan AU - Cicek G AD - 1 Cardiology Department, Ankara Numune Education and Research Hospital, Ankara, Turkey. FAU - Ornek, Ender AU - Ornek E AD - 1 Cardiology Department, Ankara Numune Education and Research Hospital, Ankara, Turkey. FAU - Ileri, Mehmet AU - Ileri M AD - 1 Cardiology Department, Ankara Numune Education and Research Hospital, Ankara, Turkey. LA - eng PT - Journal Article DEP - 20170619 PL - United States TA - Clin Appl Thromb Hemost JT - Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis JID - 9508125 SB - IM MH - Aged MH - Cardiovascular Diseases/*mortality MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/*diagnosis/mortality MH - Prognosis MH - Risk Assessment/*methods MH - Risk Factors MH - ST Elevation Myocardial Infarction MH - Sensitivity and Specificity PMC - PMC6714684 OTO - NOTNLM OT - CHA2DS2-VASc OT - CHA2DS2-VASc-CF OT - acute myocardial infarction OT - risk score COIS- Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2017/06/20 06:00 MHDA- 2018/08/28 06:00 PMCR- 2017/06/19 CRDT- 2017/06/20 06:00 PHST- 2017/06/20 06:00 [pubmed] PHST- 2018/08/28 06:00 [medline] PHST- 2017/06/20 06:00 [entrez] PHST- 2017/06/19 00:00 [pmc-release] AID - 10.1177_1076029617715118 [pii] AID - 10.1177/1076029617715118 [doi] PST - ppublish SO - Clin Appl Thromb Hemost. 2018 Mar;24(2):273-278. doi: 10.1177/1076029617715118. Epub 2017 Jun 19.