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CHA₂DS₂-VASc Score for Atrial Fibrillation

Calculate the CHA₂DS₂-VASc score to estimate the annual risk of stroke in patients with non-valvular atrial fibrillation.

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Formula

#
Core Formula
Weighted scoring system (0-9 points).

How it works: Summarizes risk factors for stroke (Heart failure, Hypertension, Age, Diabetes, Prior stroke, Vascular disease, and Sex). A higher score suggests a greater need for oral anticoagulation.

Worked Example

Age 76 (+2), Hypertension (+1), Female (+1) -> CHA₂DS₂-VASc 4 (4.0% annual stroke risk).

Frequently Asked Questions

What does the score recommend for anticoagulation?

Generally, anticoagulation is strongly recommended for a score of 2 or more in men and 3 or more in women. For a score of 1 in men or 2 in women, clinicians may consider anticoagulation based on individual risk and preference.

Why does sex matter in the score?

Studies show that female patients with atrial fibrillation have a statistically higher risk of stroke than males with the same other risk factors, which adds 1 point to the score.

Is this used for all heart valve conditions?

No. The CHA₂DS₂-VASc score is specifically validated for "non-valvular" atrial fibrillation. Patients with moderate-to-severe mitral stenosis or mechanical heart valves usually require anticoagulation regardless of this score.

Medical Disclaimer

This calculator is provided for informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making any decisions based on these results. Do not disregard or delay seeking medical advice because of information obtained from this tool.

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