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Cardiology

CHA2DS2-VASc

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Formula

Heart failure 1, hypertension 1, age 75 or above 2, diabetes 1, stroke/TIA/thromboembolism 2, vascular disease 1, age 65-74 1, female sex 1 (maximum 9).

Limitations

  • Risk categories follow the 2020 ESC convention (score excluding sex: 0 low, 1 intermediate, 2 or more high); local guidelines differ.
  • Applies to non-valvular atrial fibrillation; bleeding risk must be assessed separately.

References

  1. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the Euro Heart Survey on atrial fibrillation. Lip GYH, Nieuwlaat R, Pisters R, Lane DA, Crijns HJGM. Chest. 2010;137(2):263-272. PMID 19762550