The CHADS2 Stroke Risk Score in Patients with AFib: Index Score Points and Disease Prevalence
To optimize the appropriate use of warfarin, or anticoagulation in general, several risk scores have been developed to calculate the risk of stroke in patients with AFib.[8] A premier example is CHADS2 risk score, which is an algorithm that assigns index points to different risk factors. As shown in Figure 9, the letters C-H-A-D-S- stand, respectively, for congestive heart failure, hypertension, age >75 years, diabetes mellitus, and stroke or transient ischemic attack (TIA).[9] The first four elements are given 1 point, whereas stroke or TIA, conferring the highest risk of a future stroke, is assigned 2 points. Thus on the CHADS2 score the maximum number of points would be 6 and the minimum would be 0.
References
van Walraven C, Hart RG, Wells GA, et al. A clinical prediction rule to identify patients with atrial fibrillation and a low risk for stroke while taking aspirin. Arch Intern Med. 2003;163:936-943.
Nieuwlaat R, Capucci A, Lip GY, et al; Euro Heart Survey Investigators. Antithrombotic treatment in real-life atrial fibrillation patients: a report from the Euro Heart Survey on Atrial Fibrillation. Eur Heart J. 2006;27:3018-3026.