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العنوان
Validity of the CHA2DS2VASc score in assessment of prognosis of ST-elevation myocardial infarction patients irrespective of presence of atrial fibrillation /
المؤلف
Abdelrahman, Alaa Fawzy.
هيئة الاعداد
باحث / آلاء فوزي عبد الرحمن
مشرف / سلوي رشدي ديمتري
مناقش / خالد عبد الغني بركة
مناقش / حاتم عبد الرحمن حلمي
الموضوع
cardiology.
تاريخ النشر
2018.
عدد الصفحات
75 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض القلب والطب القلب والأوعية الدموية
الناشر
تاريخ الإجازة
30/4/2019
مكان الإجازة
جامعة أسيوط - كلية الطب - cardiology
الفهرس
Only 14 pages are availabe for public view

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Abstract

from our study we can conclude:
1. CHA2DS2VASc score is simpler and easier to calculate which is proved to be independent predictor of MACE and mortality in short-term follow up of STEMI patienIts.
2. CHA2DS2VASc score can be used as a risk stratification system in patients with STEMI.
3. The 3 risk scores (TIMI, GRACE, and CHA2DS2VASc) were able to discriminate patients with Acute STEMI with or without MACE at different time points up to 6ms with non-significant difference between them in prediction of short-term cardiovascular events after STEMI.
4. People with high CHA2DS2VASc score tended to be older with more co-morbidity, and these factors might affect patient selection for invasive strategy; they were less likely to undergo revascularization than those with low or intermediate risk score.
Recommendations
1. Another study on a larger number of populations is needed to be done to give a more accurate and conclusive results.
2. Another study that include both STEMI and NSTEMI patients with known AF and compare between both of them.
3. A Multi-center study is recommended to detect more accurate data that could be applied to general population.
4. Cardiac event-free survivals are recommended to compare the three groups.