The HATCH and CHA2DS2-VASc scores

Schmidt, Eike Ulrike; Schneider, R.; Lauschke, Jörg; Wendig, Imke; Bänsch, Dietmar

doi:10.1007/s00059-013-3835-x

Cited by 12 publications

(5 citation statements)

References 17 publications

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“…The HATCH score was also evaluated for predicting the recurrence of AF after catheter ablation in studies carried out by Tang et al [23], in which the score proved not to be useful. Miao et al [24] and Schmidt et al [25] demonstrated that with higher HATCH scores, AF recurrences after catheter ablation were more frequent. In the present study, we aimed to investigate the HATCH score in the short-term for predicting the success of cardioversion and found that when a HATCH score was two or more as a threshold, the EC was unsuccessful, with 77% sensitivity, 62% specificity, 56% positive predictive value, and 87% negative predictive value in predicting unsuccessful cardioversion.…”

Section: Discussionmentioning

confidence: 99%

The role of HATCH score in predicting the success rate of sinus rhythm following electrical cardioversion of atrial fibrillation

et al. 2016

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A b s t r a c t Background:The HATCH score predicts the development of persistent and permanent atrial fibrillation (AF) one year after spontaneous or pharmacological conversion to sinus rhythm in patients with AF. However, it remains unknown whether HATCH score predicts short-term success of the procedure at early stages for patients who have undergone electrical cardioversion (EC) for AF. Aim:The present study evaluated whether HATCH score predicts short-term success of EC in patients with AF. Methods:The study included patients aged 18 years and over, who had undergone EC due to AF lasting less than 12 months, between December 2011 and October 2013. HATCH score was calculated for all patients. The acronym HATCH stands for Hypertension, Age (above 75 years), Transient ischaemic attack or stroke, Chronic obstructive pulmonary disease, and Heart failure. This scoring system awards two points for heart failure and transient ischaemic attack or stroke and one point for the remaining items. Results:The study included 227 patients and short-term EC was successful in 163 of the cases. The mean HATCH scores of the patients who had undergone successful or unsuccessful EC were 1.3 ± 1.4 and 2.9 ± 1.4, respectively (p < 0.001). The area of the HATCH score under the curve in receiver operating characteristics analysis was (AUC) 0.792 (95% CI 0.727-0.857, p < 0.001). A HATCH score of two and above yielded 77% sensitivity, 62% specificity, 56% positive predictive value, and 87% negative predictive value in predicting unsuccessful cardioversion.Conclusions: HATCH score is useful in predicting short-term success of EC at early stages for patients with AF, for whom the use of a rhythm-control strategy is planned.

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Section: Discussionmentioning

confidence: 99%

The role of HATCH score in predicting the success rate of sinus rhythm following electrical cardioversion of atrial fibrillation

et al. 2016

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“…Thus, the HATCH scoring system is related with altered electroanatomical characteristics of left atrium which have comprised some cellular pathological mechanisms of atrium as fibrosis and cellular hypertrophy. Several studies documented that with higher HATCH scores, AF recurrences after catheter ablation more frequent 9 21 22. Tischer et al showed that prevalence of AF increases with higher HATCH scores 23…”

Section: Discussionmentioning

confidence: 99%

A New Predictor of Atrial Fibrillation after Coronary Artery Bypass Graft Surgery: Hatch Score

Selvi

Güngör

Zencir

et al. 2018

Journal of Investigative Medicine

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The aim of this study was to investigate the association between HATCH score and atrial fibrillation (AF) after coronary artery bypass graft (CABG) surgery. 369 patients (103 patients with AF and 266 patients without AF) undergoing isolated CABG surgery were analyzed. Complete medical records were retrospectively collected to investigate HATCH score. The median age of patients with AF was significantly higher than the median age of non-AF group (60.8±10.0 years vs 67.8±9.5 years, P<0.001). HATCH score was significantly higher in patients who developed AF after CABG surgery than the non-AF group (P=0.017). Multivariate logistic regression analysis showed that HATCH score (OR 1.334; 95% CI 1.022 to 1.741, P=0.034) was an independent predictor of AF after CABG surgery. Receiver operating characteristic curve analysis showed that the cut-off point of HATCH score related to predict AF was >1 (two or more), with a sensitivity of 42% and specificity of 70%. Patients with elevated preoperative HATCH score may have higher risk for AF after CABG surgery.

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“…Based on the predictors of AF progression, a risk stratification rule to estimate the probability of AF progression in patients with PAF, the HATCH score, was developed ( 4 , 29 , 30 ). The premise of the HATCH score is early selection of patients for rhythm control therapy in an effort to prevent disease progression ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

Long-term Prognosis of Paroxysmal Atrial Fibrillation and Predictors for Progression to Persistnt or Chronic Atrial Fibrillation in the Korean Population

Chun

Park

et al. 2015

J Korean Med Sci

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Little is known about the long-term prognosis of or predictors for the different clinical types of atrial fibrillation (AF) in Korean populations. The aim of this study was to validate a risk stratification to assess the probability of AF progression from paroxysmal AF (PAF) to persistent AF (PeAF) or permanent AF. A total of 434 patients with PAF were consecutively enrolled (mean age; 71.7 ± 10.7 yr, 60.6% male). PeAF was defined as episodes that are sustained > 7 days and not self-terminating, while permanent AF was defined as an ongoing long-term episode. Atrial arrhythmia during follow-up was defined as atrial premature complex, atrial tachycardia, and atrial flutter. During a mean follow-up of 72.7 ± 58.3 months, 168 patients (38.7%) with PAF progressed to PeAF or permanent AF. The mean annual AF progression was 10.7% per year. In univariate analysis, age at diagnosis, body mass index, atrial arrhythmia during follow-up, left ventricular ejection fraction, concentric left ventricular hypertrophy, left atrial diameter (LAD), and severe mitral regurgitation (MR) were significantly associated with AF progression. In multivariate analysis, age at diagnosis (P = 0.009), atrial arrhythmia during follow-up (P = 0.015), LAD (P = 0.002) and MR grade (P = 0.026) were independent risk factors for AF progression. Patients with younger age at diagnosis, atrial arrhythmia during follow-up, larger left atrial chamber size, and severe MR grade are more likely to progress to PeAF or permanent AF, suggesting more intensive medical therapy with close clinical follow-up would be required in those patients.

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The HATCH and CHA2DS2-VASc scores

Abstract: Pulmonary vein isolation is equally effective in patients with a low-to-moderate risk of disease progression and thromboembolic risk. However, the success rate seems to decrease in patients with high sores.

Cited by 12 publications

References 17 publications

The role of HATCH score in predicting the success rate of sinus rhythm following electrical cardioversion of atrial fibrillation

The role of HATCH score in predicting the success rate of sinus rhythm following electrical cardioversion of atrial fibrillation

A New Predictor of Atrial Fibrillation after Coronary Artery Bypass Graft Surgery: Hatch Score

Long-term Prognosis of Paroxysmal Atrial Fibrillation and Predictors for Progression to Persistnt or Chronic Atrial Fibrillation in the Korean Population

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