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🫀 CHA₂DS₂-VASc Score (AF Stroke Risk)

Estimate annual stroke risk in non-valvular atrial fibrillation with CHA₂DS₂-VASc.

CHA₂DS₂-VASc Score (AF Stroke Risk)

Congestive heart failure / LV dysfunction
Hypertension
Age
Diabetes
Prior stroke/TIA/thromboembolism
Vascular disease (MI/PAD/aortic plaque)
Sex

When to use

Guide oral anticoagulation decisions in AF.

How it works

CHF 1, hypertension 1, age ≥75 2, diabetes 1, prior stroke/TIA 2, vascular disease 1, age 65–74 1, female sex 1.

Key points

  • Anticoagulate men ≥ 2 and women ≥ 3 in most guidelines.
  • Female sex is a risk modifier, not a standalone indication.
  • Balance against bleeding risk (HAS-BLED).

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

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