The document discusses the CHA2DS2-VASc score for assessing thromboembolic risk in patients with nonvalvular atrial fibrillation. The score assigns points for various risk factors like congestive heart failure, hypertension, age, diabetes, prior stroke or TIA, and assigns treatment recommendations based on the total score.
The document discusses the CHA2DS2-VASc score for assessing thromboembolic risk in patients with nonvalvular atrial fibrillation. The score assigns points for various risk factors like congestive heart failure, hypertension, age, diabetes, prior stroke or TIA, and assigns treatment recommendations based on the total score.
The document discusses the CHA2DS2-VASc score for assessing thromboembolic risk in patients with nonvalvular atrial fibrillation. The score assigns points for various risk factors like congestive heart failure, hypertension, age, diabetes, prior stroke or TIA, and assigns treatment recommendations based on the total score.
The document discusses the CHA2DS2-VASc score for assessing thromboembolic risk in patients with nonvalvular atrial fibrillation. The score assigns points for various risk factors like congestive heart failure, hypertension, age, diabetes, prior stroke or TIA, and assigns treatment recommendations based on the total score.
Annual Total Risk criteria Points stroke score risk Congestive heart C 1 0 0.2% failure H Hypertension 1 1 0.6% A2 Age ≥75* 2 2 2.2% D Diabetes mellitus 1 3 3.2% S2 Stroke or TIA 2 4 4.8% Vascular disease (eg, V 1 5 7.2% PAD, prior MI) A Age 65-74* 1 6 9.7% Sc Sex category female 1 7 11.2% Maximum score 9 8 10.8% 9 12.2% Total score Generalized stroke Antithrombotic Male Female** risk therapy
0 0 Low None None or oral 1 2 Moderate anticoagulant ≥2 ≥3 High Oral anticoagulant *Patients are assigned to 1 of 2 age categories. **Different cutoffs are used for males & females. Female sex is considered a risk modifier that adds to the CHA2DS2-VASc score only if other nonsex risk factors are present (female patients cannot have a total score of 1). MI = myocardial infarction; PAD = peripheral artery disease; TIA = transient ischemic attack.
