Description

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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