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%
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