Published: 10 May 2021
Author(s): Yan-Guang Li, Jin Bai, Gongbu Zhou, Juan Li, Yi Wei, Lijie Sun, Lingyun Zu, Shuwang Liu
Issue: August 2021
Section: Original article

The incidence of atrial fibrillation (AF) increases with age and accumulating comorbidities, conferring significant risks of ischemic stroke [1], heart failure (HF) [2], and mortality [3,4]. Assessing individuals’ risk of incident AF is critical for fulfilling primary prevention, making screening and early management strategies [5]. Several risk predictive models have been suggested to evaluate the risk of incident AF. The C2HEST score (C2: coronary artery disease [CAD] / chronic obstructive pulmonary disease [COPD] [1 point each]; H: Hypertension [1 point]; E: Elderly [Age ≥75 years, 2 points]; S: Systolic and diastolic HF [2 points]); T: Thyroid disease [hyperthyroidism] [1 point]) was derived from a large community-based Chinese population and externally validated in a population from the Korean National Health Insurance[6].

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