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CHADS2-VASc Score
Aka: CHADS2-VASc Score, CHA2DS2-VASc Score
- See Also
- Atrial Fibrillation Anticoagulation
- Outpatient Bleeding Risk Index
- HAS-BLED Score
- CHADS2 Score
- Criteria
- Score 1 point: Congestive Heart Failure
- Score 1 point: Hypertension
- Score 2 points: Age 75 years old and older
- Score 1 point: Diabetes Mellitus
- Score 2 points: Stroke
- Score 1 point: Vascular disease
- Score 1 point: Age 65 years old and older
- Score 1 point: Sex-Category = Female
- Interpretation: Score 0 to 9 points
- Score 0 points
- No therapy (preferred) OR
- Aspirin
- Score 1 point
- Oral Anticoagulation (preferred) OR
- Aspirin
- Score 2-3 points or more
- Oral Anticoagulation
- Interpretation: CVA Risk based on CHAD Vasc Score
- Score 0: 0.2% CVA Risk (low risk)
- Score 1: 0.6% CVA Risk (Low-moderate risk)
- Score 2: 2.2% CVA Risk (Moderate-high risk)
- Score 3: 3.2% CVA Risk
- Score 4: 4.8% CVA Risk
- Score 5: 7.2% CVA Risk
- Score 6: 9.7% CVA Risk
- Score 7: >10% CVA Risk
- From Swedish Atrial Fibrillation Cohort Study
- Efficacy
- More accurate than CHADS2 Score at identifying a cohort of Atrial Fibrillation patients who could benefit from oral Anticoagulation
- Includes more risk factors in the mnemonic than CHADS2
- References
- Lane (2012) Circulation 126: 860-5 [PubMed]
- Lip (2010) Chest 137: 263-72 [PubMed]
- Mason (2012) Am J Med 125:e1-6 [PubMed]