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CHADS2 Score, Stroke Risk in Atrial Fibrillation
Aug 11, 2013
•
Mark Morgan
categories:
Cardiovascular
The CHADS2 score is used to help decide whether or not to prescribe an anticoagulant for atrial fibrillation. 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 (0 points)
YES (1 point)
<-- Congestive heart failure
No (0 points)
YES (1 point)
<-- Hypertension: Blood pressure consistently above 140/90 or on blood pressure medication?
No (0 points)
YES (1 point)
<-- Age > 75
No (0 points)
YES (1 point)
<-- Diabetes mellitus
No (0 points)
YES (2 points)
<-- Prior stroke or TIA
Score -->
score
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)
out of 6 points
Interpretation -->
interpretation
score=(Q1)+(Q2)+(Q3)+(Q4)+(Q5);score>2?'5.3% annual stroke risk (high)':score>0?'2.7% annual stroke risk (moderate)':'0.8% annual stroke risk (low)'
display/hide references
references:
#1
Am Fam Physician. 2005 Jun 15;71(12):2348-2350.
#2
Am Fam Physician. 2010 Mar 15;81(6):780-782.
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