1. The interpretation of CHA2DS2-VASc score components in clinical practice: a joint survey by the European Heart Rhythm Association (EHRA) Scientific Initiatives Committee, the EHRA Young Electrophysiologists, the Association of Cardiovascular Nursing and Allied Professionals, and the European Society of Cardiology Council on Stroke
- Author
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Juqian Zhang, Gregory Y.H. Lip, Jeroen M.L. Hendriks, Wolfram Doehner, Katarzyna Malaczynska-Rajpold, Tatjana S. Potpara, Geraldine Lee, Jedrzej Kosiuk, Isabelle C. Van Gelder, Francisco Marín, Radosław Lenarczyk, and Cardiovascular Centre (CVC)
- Subjects
Cardiovascular Nursing ,medicine.medical_specialty ,education ,Cardiology ,030204 cardiovascular system & hematology ,Risk Assessment ,ADHERENT ANTITHROMBOTIC TREATMENT ,Ventricular Function, Left ,03 medical and health sciences ,THROMBOEMBOLISM ,0302 clinical medicine ,Risk Factors ,Surveys and Questionnaires ,Physiology (medical) ,Internal medicine ,medicine ,Humans ,030212 general & internal medicine ,HIGH-RISK PATIENTS ,Stroke risk stratification ,Survey ,Association (psychology) ,Cardiovascular nursing ,Stroke ,Knowledge gap ,NATRIURETIC PEPTIDE ,business.industry ,Interpretation (philosophy) ,Stroke Volume ,IMPROVED OUTCOMES ,Guideline ,ANTICOAGULATION THERAPY ,AF ,medicine.disease ,PREVENTION ,Atrial fibrillation ,3. Good health ,Clinical Practice ,Heart Rhythm ,GUIDELINE ,ATRIAL-FIBRILLATION ,CHA2DS2–VASc score ,Referencing resources ,Cardiology and Cardiovascular Medicine ,business - Abstract
This European Heart Rhythm Association (EHRA) Scientific Initiatives Committee, EHRA Young Electrophysiologists, Association of Cardiovascular Nursing and Allied Professionals, and European Society of Cardiology (ESC) Council on Stroke joint survey aimed to assess the interpretation of the CHA2DS2-VASc score components and preferred resources for calculating the score. Of 439 respondents, most were general cardiologists (46.7%) or electrophysiologists (EPs) (42.1%). The overall adherence to the ESC-defined scoring criteria was good. Most variation was observed in the interpretation of the significance of left ventricular ejection fraction and brain natriuretic peptide in the scoring for the ‘C’ component, as well as the ‘one-off high reading of blood pressure’ to score on the ‘H’ component. Greater confidence was expressed in scoring the ‘H’ component (72.3%) compared with the ‘C’ (46.2%) and ‘V’ (45.9%) components. Respondents mainly relied on their recall for the scoring of CHA2DS2-VASc score (64.2%). The three most favoured referencing resources varied among different professionals, with pharmacists and physicians relying mainly on memory or web/mobile app, whereas nurses favoured using a web/mobile app followed by memory or guidelines/protocol. In conclusion, this survey revealed overall good adherence to the correct definition of each component in scoring of the ‘C’, ‘H’, and ‘V’ elements of the CHA2DS2-VASc score, although the variation in their interpretations warrants further clarifications. The preferred referencing resources to calculate the score varied among different healthcare professionals. Guideline education to healthcare professionals and updated and unified online/mobile scoring tools are suggested to improve the accuracy in scoring the CHA2DS2-VASc score.
- Published
- 2020
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