Cardiovascular Medicine Book

Vitals

Dermatology

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CHADS2-VASc Score

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

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