###### Created: 2024-06-09 21:00 ###### Areas & Topics: #medicine ###### Note Type: #permanent ###### Connected to: [[Atrial Fibrillation]] [[Heart Failure]] [[Hypertension]] [[Type 2 Diabetes]] [[Type 1 Diabetes]] [[Acute Coronary Syndrome (ACS)]] [[Atheroma]] - The CHA2DS2VASc score is a tool used to assess a person's stroke risk. - Adding together the points allocated to each risk factor gives a total score which guides the decision to offer antithrombotic treatment: - **C**ongestive heart failure/left ventricular dysfunction (heart failure with reduced ejection fraction, or people with recent decompensated heart failure requiring hospitalization, irrespective of ejection fraction) = 1 - **H**ypertension (defined as a resting blood pressure greater than 140 mmHg systolic and/or greater than 90 mmHg diastolic on at least 2 occasions or current antihypertensive pharmacologic treatment) = 1 - **A**ge older than or equal to 75 years = 2 - **D**iabetes mellitus (defined as fasting plasma glucose level of 7.0 mmol/L (126 mg/dL) or more or treatment with oral hypoglycaemic drugs and/or insulin) = 1 - **S**troke/TIA = 2 - **V**ascular disease (prior myocardial infarction, peripheral arterial disease, or aortic plaque) = 1 - **A**ge 65 to 74 years = 1 - **S**ex category (female) = 1 ![[cha2ds2-vasc_scoring_system.jpg]] ### Resources https://cks.nice.org.uk/topics/atrial-fibrillation/management/management-of-af/#the-cha2ds2vasc-score-tool https://app.pulsenotes.com/medicine/cardiology/notes/atrial-fibrillation