Visentin et al reported a score for identifying a patient with chronic lymphocytic leukemia (CLL) who is at risk for developing atrial fibrillation (AF). The authors are from multiple institutions in Italy.
Patient selection: CLL
Outcome: atrial fibrillation (AF) over follow-up period of 15 years
Parameters:
(1) age in years
(2) sex
(3) valvular heart disease
(4) cardiopathy
(5) hyperthyroidism
(6) chronic lung disease
(7) diabetes mellitus
(8) severe infections
Parameter |
Finding |
Points |
age |
<= 65 years |
0 |
|
> 65 years |
1 |
sex |
female |
0 |
|
male |
1 |
valvular heart disease |
absent |
0 |
|
present |
2 |
cardiopathy |
absent |
0 |
|
present |
3 |
hyperthyroidism |
absent |
0 |
|
present |
1 |
chronic lung disease |
absent |
0 |
|
present |
1 |
diabetes mellitus |
absent |
0 |
|
present |
1 |
severe infections |
absent |
0 |
|
present |
1 |
total score =
= SUM(points for all 8 parameters)
Interpretations:
• minimum score: 0
• maximum score: 11
• The higher the score the greater the risk for developing atrial fibrillation.
Total Score |
Percent AF |
0 |
0% |
1 or 2 |
10% |
3 or 4 |
19% |
>= 5 |
61% |
Specialty: Cardiology