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تعداد آیتم قابل مشاهده باقیمانده: مورد

Clinical risk factors for stroke, transient ischemic attack, and systemic embolism in the CHA2DS2-VASc score

Clinical risk factors for stroke, transient ischemic attack, and systemic embolism in the CHA2DS2-VASc score
  1. The risk factor-based approach expressed as a point based scoring system, with the acronym CHA2DS2-VASc
    (NOTE: maximum score is 9 since age may contribute 0, 1, or 2 points)
CHA2DS2-VASc risk factor Points
Congestive heart failure
  • Signs/symptoms of heart failure or objective evidence of reduced left ventricular ejection fraction
 +1
Hypertension
  • Resting blood pressure >140/90 mmHg on at least 2 occasions or current antihypertensive treatment
 +1
Age 75 years or older +2
Diabetes mellitus
  • Fasting glucose >125 mg/dL (7 mmol/L) or treatment with oral hypoglycemic agent and/or insulin
 +1
Previous stroke, transient ischemic attack, or thromboembolism +2
Vascular disease
  • Previous myocardial infarction, peripheral artery disease, or aortic plaque
 +1
Age 65 to 74 years +1
Sex category (female) +1
 
  1. Adjusted stroke rate according to CHA2DS2-VASc score
CHA2DS2-VASc score Patients (n = 73,538) Stroke and thromboembolism event rate at 1-year follow-up (%)
0 6369 0.78
1 8203 2.01
2 12,771 3.71
3 17,371 5.92
4 13,887 9.27
5 8942 15.26
6 4244 19.74
7 1420 21.50
8 285 22.38
9 46 23.64
CHA2DS2-VASc: Congestive heart failure, Hypertension, Age (≥75; doubled), Diabetes, Stroke (doubled), Vascular disease, Age (65 to 74), Sex.
Part A from: Kirchhof P, Benussi S, Kotecha D, et al. 2016 ESC guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Europace 2016; 18(11):1609-1678. doi: 10.1093/europace/euw295. Reprinted by permission of Oxford University Press on behalf of the European Society of Cardiology. Copyright © 2016 The European Society of Cardiology. www.escardio.org/Guidelines.
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