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心房颤动患者的情况下构建的 SAAE score 应用于非心 update of the ESC Guidelines for the management of atrial
房颤动人群时也能有效识别 TE 事件的高危患者,也提 fibrillation:an update of the 2010 ESC Guidelines for the management
of atrial fibrillation——developed with the special contribution of the
示了该模型在非心房颤动人群中的价值。
European Heart Rhythm Association[J]. European Heart Journal,
综上所述,本研究构建了中国 HCM 患者的 TE 事
2012,14(10):1385-1413. DOI:10.1093/eurheartj/ehs253.
件风险预测模型,即 SAAE score,该模型在整体人群、 [9]GUTTMANN O P,PAVLOU M,O'MAHONY C,et al. Prediction
心房颤动及非心房颤动人群中均具有较高的 TE 事件区 of thrombo-embolic risk in patients with hypertrophic cardiomyopathy
分及校准能力;该模型可较好地对不同 HCM 人群进行 (HCM Risk-CVA)[J]. Eur J Heart Fail,2015,17(8):
TE 事件的风险分层。 837-845. DOI:10.1002/ejhf.316.
作者贡献:阮海燕负责数据清洗、统计学分析、绘 [10]CHOI Y J,CHOI E K,HAN K D,et al. Temporal trends of the
prevalence and incidence of atrial fibrillation and stroke among
制图表及论文起草等;李丽英负责数据收集、采集、清
Asian patients with hypertrophic cardiomyopathy:a nationwide
洗、检索文献等,参与研究过程的实施;张木馨负责数
population-based study[J]. Int J Cardiol,2018,273:130-
据收集、采集、清洗等,对研究指标及论文数据进行核 135. DOI:10.1016/j.ijcard.2018.08.038.
查;郑翼提出研究思路,设计研究方案,提出研究命题 [11]O'MAHONY C,JICHI F,PAVLOU M,et al. A novel clinical
等;何森提出研究思路,设计研究方案,提出研究命题, risk prediction model for sudden cardiac death in hypertrophic
设计主要研究指标等,参与并负责研究所有过程,负责 cardiomyopathy (HCM risk-SCD)[J]. Eur Heart J,2014,35
(30):2010-2020. DOI:10.1093/eurheartj/eht439.
论文最终版本修订,对论文负责。
[12]AMBLER G,OMAR R Z,ROYSTON P,et al. Generic,simple
本文无利益冲突。
risk stratification model for heart valve surgery[J]. Circulation,
参考文献
2005,112(2):224-231. DOI:10.1161/CIRCULATIONA
[1]GERSH B J,MARON B J,BONOW R O,et al. 2011 ACCF/
HA.104.515049.
AHA guideline for the diagnosis and treatment of hypertrophic
[13]FAUCHIER L,BISSON A,BODIN A,et al. Ischemic stroke in
cardiomyopathy:a report of the American College of Cardiology
patients with hypertrophic cardiomyopathy according to presence or
Foundation/American Heart Association Task Force on Practice
absence of atrial fibrillation[J]. Stroke,2022,53(2):497-
Guidelines[J]. Circulation,2011,124(24):e783-831.
504. DOI:10.1161/STROKEAHA.121.034213.
DOI:10.1161/CIR.0b013e318223e2bd.
[14]HE S,WANG Z Q,CHEEM T H,et al. External validation of
[2]MEMBERS A F,ELLIOTT P M,ANASTASAKIS A,et al. 2014
the model of thromboembolic risk in hypertrophic cardiomyopathy
ESC Guidelines on diagnosis and management of hypertrophic
patients[J]. Can J Cardiol,2019,35(12):1800-1806.
cardiomyopathy:the Task Force for the Diagnosis and Management
DOI:10.1016/j.cjca.2019.05.035.
of Hypertrophic Cardiomyopathy of the European Society of Cardiology
[15]NAGUEH S F,BIERIG S M,BUDOFF M J,et al. American
(ESC)[J]. Eur Heart J,2014,35(39):2733-2779. DOI:
Society of Echocardiography clinical recommendations for
10.1093/eurheartj/ehu284.
multimodality cardiovascular imaging of patients with hypertrophic
[3]吴兆苏,姚崇华,赵冬 . 我国人群脑卒中发病率、死亡率的流
cardiomyopathy:endorsed by the American Society of Nuclear
行病学研究[J]. 中华流行病学杂志,2003,24(3):236-
Cardiology,Society for Cardiovascular Magnetic Resonance,
239.
and Society of Cardiovascular Computed Tomography[J]. J Am
[4]JUN H T,NINOMIYA T,HIRAKAWA Y,et al. Secular trends in
Soc Echocardiogr,2011,24(5):473-498. DOI:10.1016/j.
cardiovascular disease and its risk factors in Japanese:half-century
echo.2011.03.006.
data from the Hisayama Study (1961-2009)[J]. Circulation,
[16]LIP G Y H,NIEUWLAAT R,PISTERS R,et al. Refining clinical
2013,128(11):1198-1205. DOI:10.1161/CIRCULATIONA
risk stratification for predicting stroke and thromboembolism in atrial
HA.113.002424.
fibrillation using a novel risk factor-based approach:the euro heart
[5]MARON B J,OLIVOTTO I,BELLONE P,et al. Clinical profile of
survey on atrial fibrillation[J]. Chest,2010,137(2):263-
stroke in 900 patients with hypertrophic cardiomyopathy[J]. J Am
272. DOI:10.1378/chest.09-1584.
Coll Cardiol,2002,39(2):301-307. DOI:10.1016/s0735-
[17]SARTIPY U,DAHLSTRÖM U,EDNER M,et al. Predicting
1097(01)01727-2.
survival in heart failure:validation of the MAGGIC heart failure
[6]HARUKI S,MINAMI Y,HAGIWARA N. Stroke and embolic
risk score in 51 043 patients from the Swedish heart failure
events in hypertrophic cardiomyopathy:risk stratification in patients
registry[J]. Eur J Heart Fail,2014,16(2):173-179.
without atrial fibrillation[J]. Stroke,2016,47(4):936-942.
DOI:10.1111/ejhf.32.
DOI:10.1161/STROKEAHA.115.012130.
[18]GUTTMANN O P,RAHMAN M S,O'MAHONY C,et al. Atrial
[7]GUTTMANN O P. Atrial fibrillation and thromboembolism in
fibrillation and thromboembolism in patients with hypertrophic
hypertrophic cardiomyopathy - an underestimated risk[J]. Int J
cardiomyopathy:systematic review[J]. Heart,2014,100(6):
Cardiol,2018,273:187-188. DOI:10.1016/j.ijcard.2018.09.058.
465-472. DOI:10.1136/heartjnl-2013-304276.
[8]CAMM A J,LIP G Y,DE CATERINA R,et al. 2012 focused
[19]CAMM C F,CAMM A J. Atrial fibrillation and anticoagulation in