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CHA2DS2-VASc Score

Estimate stroke risk in patients with atrial fibrillation to guide anticoagulation therapy.

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Formula

Point-based scoring system (0-9)

Assigns points for Congestive heart failure, Hypertension, Age, Diabetes, Stroke history, Vascular disease, and Sex.

Worked Example

Age 75 (+2), Hypertension (+1), Female (+1) -> Score 4.

Frequently Asked Questions

What does the score mean?

A higher score indicates a higher annual risk of stroke. Scores of 2 or more usually warrant anticoagulation.

What is vascular disease in this context?

Includes prior heart attack (MI), peripheral artery disease (PAD), or aortic plaque.

Is this for all AFib?

It is specifically validated for non-valvular atrial fibrillation.

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