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American College of Chest Physicians (ACCP) Stroke Risk
May 30, 2010
•
Mark Morgan
categories:
Cardiovascular
Neurology
Summary:
The ACCP Stroke Risk Calculator is used to help decide whether or not to use anticoagulant. An approach to the decision of warfarin for oral anticoagulation for atrial fibrillation is suggested in
(link)
Am Fam Physician. 2005 Jun 15;71(12):2348-2350.
1) Use the
(link)
CHADS2 rule as well as the
(link)
ACCP rule to determine the risk of stroke.
2) If both these measures predict moderate risk of stroke, proceed to calculate the
(link)
Outpatient Bleeding Risk Index and weigh the risks versus the benefits.
No
YES (High Risk)
<-- History of Stroke or TIA
No
YES (High Risk)
<-- Hypertension
No
YES (High Risk)
<-- Heart failure
Under 65
65 to 75 (Moderate Risk)
Over 75 (High Risk)
<-- Age
No
YES (Moderate Risk)
<-- Diabetes mellitus
No
YES (Moderate Risk)
<-- Coronary artery disease
Interpretation -->
interpretation
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6);score>9?'3.0% annual stroke rate (High Risk - warfarin recommended)':score>4?'1.0% annual stroke rate (Moderate Risk - aspirin recommended)':'0.5% annual stroke rate (Low Risk - aspirin recommended)'
display/hide references
references:
#1
Am Fam Physician. 2005 Jun 15;71(12):2348-2350.
Am Fam Physician. 2010 Mar 15;81(6):780-782.
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