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Stroke Risk Score for Atrial Fibrillation

Score:

Result Interpretation

CHA2DS2-VASc Score Number of Patients (n=7329) Adjusted Annual Stroke Risk (%)
0 1 0
1 422 1.3
2 1230 2.2
3 1730 3.2
4 1718 4.0
5 1159 6.7
6 679 9.8
7 294 9.6
8 82 6.7
9 14 15.2

This score is used for non-valvular atrial fibrillation and has certain guiding significance for anticoagulant therapy, as follows:

Score ≥2, high risk (annual stroke risk 2.2~15.2%), oral anticoagulant therapy is recommended;

Score = 1, moderate risk (annual stroke risk 1.3%), oral anticoagulant therapy or aspirin can be used;

Score = 0, low risk (annual stroke risk 0%), no antithrombotic therapy or aspirin is needed.

As shown in the figure below, choose an anticoagulant therapy strategy based on the CHADS2 score:

The CHA2DS2-VASc score modifies the CHADS2 score by changing the age ≥75 years from 1 point to 2 points, and adding three risk factors: vascular disease, age 65-74 years, and sex (female), thereby influencing the decision for anticoagulant therapy.

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