[Characterisation of thromboembolic risk in a mexican population with non-valvular atrial fibrillation and its effect on anticoagulation (MAYA Study)].
OBJECTIVE
To evaluate the risk of stroke and bleeding using the CHA2DS2-VASc and HAS-BLED scores in Mexican patients with atrial fibrillation and to analyze whether the risk score obtained determined treatment decisions regarding antithrombotic therapy.


METHODS
This is an observational, retrospective study in Mexican patients recently diagnosed with atrial fibrillation. The risk of stroke was assessed using the CHA2DS2-VASc scores. The bleeding risk was evaluated using the HAS-BLED score. The frequency of use of antithrombotic therapy was calculated according to the results of the score risk assessment.


RESULTS
A total of 350 patients with non-valvular atrial fibrillation were analyzed. A 92.9% of patients had a high risk (score ≥ 2) of stroke according to the CHA2DS2-VASc score and only 17.2% were treated with anticoagulants. A high proportion of patients with atrial fibrillation (72.5%) showed both a high risk of stroke and a high risk of bleeding based on HAS-BLED score.


CONCLUSIONS
In this group of patients with atrial fibrillation, from Northeast Mexico, there is a remarkably underutilization of anticoagulation despite the high risk of stroke of these patients.
Servicio de Cardiología, Hospital Regional de Petróleos Mexicanos, PEMEX, Cd. Madero, Tamps., México.
Jorge A
JA
Vázquez-Acosta
Servicio de Cardiología, Hospital Regional de Petróleos Mexicanos, PEMEX, Cd. Madero, Tamps., México.
Álvaro E
ÁE
Ramírez-Gutiérrez
Servicio de Cardiología, Hospital Regional de Petróleos Mexicanos, PEMEX, Cd. Madero, Tamps., México.
Mario A
MA
Cerecedo-Rosendo
Servicio de Cardiología, Hospital Regional de Petróleos Mexicanos, PEMEX, Cd. Madero, Tamps., México.
Francisco M
FM
Olivera-Barrera
Servicio de Cardiología, Hospital Regional de Petróleos Mexicanos, PEMEX, Cd. Madero, Tamps., México.
Salvador S
SS
Tenorio-Sánchez
Servicio de Cardiología, Hospital Regional de Petróleos Mexicanos, PEMEX, Cd. Madero, Tamps., México.
Javier
J
Nieto-Villarreal
Servicio de Cardiología, Hospital Regional de Petróleos Mexicanos, PEMEX, Cd. Madero, Tamps., México.
José M
JM
González-Borjas
Servicio de Cardiología, Hospital Regional de Petróleos Mexicanos, PEMEX, Cd. Madero, Tamps., México.
Estefanie
E
Villanueva-Rodríguez
D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000150:complications / Q000188:drug therapy*; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced* / Q000453:epidemiology; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D012189:Retrospective Studies; D018570:Risk Assessment; D020521:Stroke / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*
D000925:Anticoagulants