Research Article

Association of CHADS2 and CHA2DS2-VASc Scores with Left Atrial Thrombus with Nonvalvular Atrial Fibrillation: A Single Center Based Retrospective Study in a Cohort of 2695 Chinese Subjects

Table 1

Characteristics of 2,695 patients who performed transesophageal echocardiogram before ablation and cardioversion.

CharacteristicMean ± SD or number (%)

Age, years57.8 ± 11.8
Age groups
 <651848 (68.6)
 65–74708 (26.3)
 ≥75139 (5.2)
Men1824 (67.7)
Nonparoxysmal AF437 (16.2)
Congestive heart failure446 (16.5)
Hypertension1075 (39.9)
Diabetes mellitus273 (10.1)
Stroke/TIA/systemic embolic event98 (3.6)
Vascular disease39 (1.4)
Cardiomyopathy69 (2.6)
Coronary heart disease196 (7.3)
CHADS2
 01234 (45.8)
 1971 (36.0)
 2344 (12.8)
 3114 (4.2)
 427 (1.0)
 55 (0.2)
CHA2DS2-VASC
 0728 (27.0)
 1855 (31.7)
 2592 (22.0)
 3317 (11.8)
 4135 (5.0)
 550 (1.9)
 616 (0.6)
 72 (0.1)
PT-INR at the time of TEE1.22 ± 0.47
 <1.52278 (84.5%)
 1.5–2.0215 (8.0%)
 >2.0202 (7.5%)
Left atrial spontaneous echo contrast124 (4.6%)
LAT81 (3.0%)
LAD (mm)36.9 ± 5.9
LAE747 (27.7%)
LVEF%65.1 ± 7.4
LVEF% ≤ 40%32 (1.2%)

AF = atrial fibrillation; TIA = transient ischemic attack; CHADS2 = congestive heart failure, hypertension, age ≥ 75 years, diabetes mellitus, and previous stroke/transient ischemic attack [double risk weight]; CHA2DS2-VASc = congestive heart failure, hypertension, age ≥ 75 years [doubled risk weight], diabetes mellitus, previous stroke/transient ischemic attack [doubled risk weight], vascular disease, age 65 to 74 years, and sex; TEE = transesophageal echocardiogram; LAT = left atrial thrombus; LAE = left atrial enlargement; LVEF = left ventricular ejection fraction.