Arq. Bras. Cardiol. 2022; 119(3): 400-401

Atherosclerotic Burden is the Highway to Cardiovascular Events

Tannas Jatene , Jordana Pires Mendonça, Vinicius Daher Vaz , Fabrício Ribeiro Las Casas, Rogério Lobo de Andrade Las Casas

DOI: 10.36660/abc.20220554

This Short Editorial is referred by the Research article "The Predictive Value of CHA2DS2-VASc Score on Residual Syntax Score in Patients With ST Segment Elevation Myocardial Infarction".

Atherosclerotic cardiovascular disease is still a major cause of morbidity and mortality worldwide, and its risk factors have already been identified. Dyslipidemia, high blood pressure, cigarette smoking, diabetes and adiposity are frequently present, mostly in combination, in patients with coronary artery disease (CAD). ^, Identifying patients at risk for developing CAD and presenting acute coronary syndromes is of great value, and many scores were created with this aim, such as the Framingham risk score, the ASSIGN score and the QRISK^R2 risk score.

CHA₂DS₂VASc score, which comprises congestive heart failure (C), hypertension (H), age ≥ 75 (A₂), diabetes (D), stroke or transient ischemic attack (S₂), vascular disease (V), age 65-74 years (A) and male gender (Sc), was originally developed to predict stroke risk in patients with atrial fibrillation. Recently, the CHA₂DS₂VASc score was also associated with major adverse events in patients with ST-segment elevation myocardial infarction (STEMI) non-ST elevation acute coronary syndromes ^, and in patients with chronic stable ischemic disease. Moreover, Tasolar et al. and Chua et al. demonstrated its association with coronary artery disease severity.

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