Department of Cardiology, Hatay Iskenderun State Hospital, Hatay, Turkey.
Department of Cardiology, Basaksehir Cam & Sakura City Hospital, Istanbul, Turkey.
Angiology. 2024 Jan;75(1):44-53. doi: 10.1177/00033197231171235. Epub 2023 May 30.
The HATCH score [Hypertension (1 point), Age > 75 years (1 point), Stroke/Transient ischemic attack (2 points), Chronic obstructive pulmonary disease (1 point), and Heart failure (2 points)] was originally developed to predict the occurrence of new-onset atrial fibrillation. The aim of the present study was to examine whether this score could predict the development of no-reflow phenomenon (NR) in ST-segment elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (pPCI). Patients (n = 1552) with STEMI were consecutively enrolled in this single-center retrospective study. The SYNTAX score (SXscore) and HATCH score were calculated. The presence of thrombolysis in myocardial infarction (TIMI) score ≤2, without significant residual stenosis and mechanical obstruction, indicated the presence of NR. The HATCH score was significantly higher in the NR (+) group compared with the NR (-) group [2.29 ± 1.43 vs 1.46 ± 1.24, < .001]. In multivariable logistic regression analysis, the HATCH score [OR = 1.585, < .001] and SXscore [OR = 1.028, = .017] were found to be independent predictors of NR. Receiver operating characteristic curve analysis showed that the HATCH score with a cutoff value of >2 determined NR, with 50.2% sensitivity and 79.4% specificity (AUC = .669, < .001). In conclusion, the HATCH score may facilitate risk stratification in estimating NR in STEMI patients undergoing pPCI.
HATCH 评分[高血压（1 分）、年龄＞75 岁（1 分）、卒中和短暂性脑缺血发作（2 分）、慢性阻塞性肺疾病（1 分）和心力衰竭（2 分）]最初是为预测新发心房颤动而开发的。本研究旨在探讨该评分是否能预测行直接经皮冠状动脉介入治疗（pPCI）的 ST 段抬高型心肌梗死（STEMI）患者无复流现象（NR）的发生。连续纳入本单中心回顾性研究中的 1552 例 STEMI 患者。计算 SYNTAX 评分（SXscore）和 HATCH 评分。如果存在心肌梗死溶栓治疗（TIMI）评分≤2，且无明显残余狭窄和机械阻塞，则提示存在 NR。NR（+）组的 HATCH 评分明显高于 NR（-）组[2.29±1.43 比 1.46±1.24，<0.001]。多变量逻辑回归分析显示，HATCH 评分[OR=1.585，<0.001]和 SXscore[OR=1.028，=0.017]是 NR 的独立预测因素。受试者工作特征曲线分析显示，HATCH 评分截断值＞2 预测 NR，具有 50.2%的敏感性和 79.4%的特异性（AUC=0.669，<0.001）。总之，HATCH 评分可能有助于风险分层，以评估行 pPCI 的 STEMI 患者的 NR。
