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J Am Coll Cardiol, 2008; 51:810-815, doi:10.1016/j.jacc.2007.09.065
© 2008 by the American College of Cardiology Foundation
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Comparison of Risk Stratification Schemes to Predict Thromboembolism in People With Nonvalvular Atrial Fibrillation

Margaret C. Fang, MD, MPH*,*, Alan S. Go, MD*,{dagger}, Yuchiao Chang, PhD{ddagger}, Leila Borowsky, MPH{ddagger}, Niela K. Pomernacki, RD{dagger}, Daniel E. Singer, MD{ddagger} for the ATRIA Study Group

* Department of Medicine, University of California at San Francisco, San Francisco, California
{dagger} Division of Research, Kaiser Permanente of Northern California, Oakland, California
{ddagger} Clinical Epidemiology Unit, Massachusetts General Hospital, Boston, Massachusetts.


Figure 1
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Figure 1 Annual TE Rates Across Risk Groups Using 5 Risk Stratification Schemes Used to Predict AF-Related TE

The double-barred lines represent 95% confidence intervals. ACCP = American College of Chest Physicians Conference on Antithrombotic and Thrombolytic Therapy; AF = atrial fibrillation; AFI = Atrial Fibrillation Investigators; CHADS2 = congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, and prior stroke or transient ischemic attack; SPAF = stroke prevention in atrial fibrillation; TE = thromboembolism.

 

Figure 2
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Figure 2 Proportion of ATRIA Cohort Off Warfarin and Categorized by CHADS2 Scores, Stratified by Development of TE

The distribution of person-years contributed by patients not sustaining a TE is in blue and the distribution of person-years contributed by patients sustaining a TE is in yellow. Abbreviations as in Figure 1.

 

Figure 3
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Figure 3 ROC Curves for 5 Risk Stratification Schemes Used to Predict AF-Related Thromboembolism

The 45° dotted line represents the line of no information. ROC = receiver-operating characteristic; other abbreviations as in Figure 1.

 




 
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