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HATCH Score of de Vos et al for Predicting Progression from Paroxysmal to Persistent Atrial Fibrillation (HAT2CH2 Score)

Purpose: To identify a patient with paroxysmal atrial fibrillation (AF) who is likely to develop persistent disease using the HATCH score.

Description

de Vos et al developed the HATCH score to evaluate a patient's risk for progression form paroxysmal to persistent atrial fibrillation (AF). These can help to identify a patient who may benefit from closer monitoring and more aggressive management. The authors are from Maastricht University in The Netherlands.


Patient selection: presence of paroxysmal atrial fibrillation

 

Parameters:

(1) hypertension (H)

(2) age (A)

(3) TIA or stroke (T)

(4) chronic obstructive pulmonary disease or COPD (C)

(5) history of heart failure (H)

 

Parameter

Finding

Points

hypertension

absent

0

 

present

1

age of the patient

<= 75 years

0

 

> 75 years

1

history of TIA or stroke

absent

0

 

present

2

COPD

absent

0

 

present

1

history of heart failure

absent

0

 

present

2

 

total score =

= SUM(points for all 5 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 7

• The higher the score the greater the risk of changing from paroxymal to persistent atrial fibrillation.

 

Total Score

Percent Progression

0

5%

1

10%

2

25%

3

25%

4

25%

5

30%

6 or 7

50%

 

Performance:

• The odds ratios for 3 items is around 1.5.

• The ROC curve plot in Figure 2 indicates fair performance.


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Specialty

Objective

ICD-10