Cheating the CHA2DS2-VASc Score: Thromboembolism in Apical Hypertrophic Cardiomyopathy
Joint Authors
Weir, Robin A. P.
MacKenzie, Nicola
Petrie, Colin J.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-20
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Atrial fibrillation increases the risk of systemic thromboembolism in general and stroke in particular.
Not all patients who develop atrial fibrillation are at significantly heightened risk of thromboembolic complications, however, with the development of risk scoring systems aiding clinicians in determining whether formal anticoagulation is mandated.
The most commonly used contemporary scoring systems—CHADS2 and CHA2DS2-VASc—provide a reliable means of assessing stroke risk, but certain cardiac conditions are associated with an increased incidence of thromboembolism without impacting on these risk scores.
Hypertrophic cardiomyopathy, with its apical variant, is such a condition.
We present a case of a patient with apical hypertrophic cardiomyopathy and atrial fibrillation who suffered dire thromboembolic consequences despite a reassuringly low CHA2DS2-VASc score and suggest that this scoring system is modified to incorporate the thromboembolic risk inherent to certain cardiomyopathies irrespective of impairment of left ventricular systolic dysfunction or clinical heart failure.
American Psychological Association (APA)
Weir, Robin A. P.& MacKenzie, Nicola& Petrie, Colin J.. 2014. Cheating the CHA2DS2-VASc Score: Thromboembolism in Apical Hypertrophic Cardiomyopathy. Case Reports in Cardiology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1016857
Modern Language Association (MLA)
Weir, Robin A. P.…[et al.]. Cheating the CHA2DS2-VASc Score: Thromboembolism in Apical Hypertrophic Cardiomyopathy. Case Reports in Cardiology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1016857
American Medical Association (AMA)
Weir, Robin A. P.& MacKenzie, Nicola& Petrie, Colin J.. Cheating the CHA2DS2-VASc Score: Thromboembolism in Apical Hypertrophic Cardiomyopathy. Case Reports in Cardiology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1016857
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1016857