Reiffel - Atrial Fibrillation and Stroke: Epidemiology - Figure 24

Risk Stratification: CHADS2

The Figure shows the scoring for the principal risk factors in the CHADS2 scoring system. [38] [39] These are the factors that are added to the presence of AFib to calculate the risk for a future stroke, including: 

  • older age – CHADS2 uses an age of >75 years, but in fact the risk begins at age 65
  • hypertension (either a history of elevated blood pressure or treatment for hypertension)
  • diabetes mellitus
  • left ventricular (LV) dysfunction
  • prior embolism,
  • rheumatic valve disease or the presence of mechanical valve protheses.  

Each of these risk markers gets 1 point, except prior stroke or transient (cerebral) ischemic attack (TIA), which gets 2 points, and the higher the total point score, the greater the risk for a future stroke. 

Reiffel JA. Am J Med 2013; 126: 00-00.