Medical calculators

CHA₂DS₂-VASc

Stroke Risk in AFib

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How it is calculated

CHA₂DS₂-VASc for stroke risk in atrial fibrillation. Female sex modifies risk rather than creating it: the advice is based on the other points, so anticoagulation is considered at 1 point for men and 2 for women, and recommended at 2 for men and 3 for women (ACC/AHA 2023). The 2024 ESC guideline drops the sex point altogether (CHA₂DS₂-VA). The percentages shown are the adjusted annual stroke rates from the Lip 2010 validation cohort, which is the table most references reproduce. Above a score of 6 no figure is quoted: the published cohorts disagree by several percentage points at the top of the range and the highest scores rest on very few patients, so a single number to one decimal place would be false precision. The decision to anticoagulate does not turn on that digit.

About

Stroke risk in atrial fibrillation, used to decide whether to anticoagulate.

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