CHA2DS2-VASc Score Calculator

CHA2DS2-VASc Score Calculator

Stroke Risk Assessment in Atrial Fibrillation

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CHA2DS2-VASc Score Calculator

The CHA2DS2-VASc score is a clinical tool used to estimate the risk of stroke in patients with atrial fibrillation (AF). It helps guide decisions about anticoagulation therapy.

🧮 Score Breakdown

  • C – Congestive Heart Failure: 1 point
  • H – Hypertension: 1 point
  • A2 – Age ≥ 75: 2 points
  • D – Diabetes Mellitus: 1 point
  • S2 – Stroke/TIA History: 2 points
  • V – Vascular Disease: 1 point
  • A – Age 65–74: 1 point
  • Sc – Female Sex: 1 point

🎯 Interpretation

  • Low Risk (0 points): No anticoagulation recommended.
  • Moderate Risk (1 point): Consider anticoagulation therapy.
  • High Risk (2+ points): Anticoagulation therapy generally recommended.

📌 Example Calculation

A 76-year-old female with congestive heart failure, hypertension, diabetes, and prior stroke:
1 (CHF) + 1 (HTN) + 2 (Age ≥ 75) + 1 (Diabetes) + 2 (Stroke) + 1 (Female) = 8 points → High Risk

📚 References

  1. Lip GYH, et al. Use of the CHA2DS2-VASc score to assess stroke risk in patients with atrial fibrillation. Lancet. 2010. DOI: 10.1016/S0140-6736(09)61940-7
  2. January CT, et al. AHA/ACC/HRS guideline for the management of patients with atrial fibrillation. Circulation. 2019. DOI: 10.1161/CIR.0000000000000534

Always consult a healthcare professional when interpreting results from this tool.