CHA2DS2-VASc risk assessment Flashcards

1
Q

What does the CHADS2-VASc calculate the risk for?

A

Stroke risk with atrial fibrillation

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2
Q

What do the final scores suggest about risk?

A
0 = low risk (may not require anti-coagulation if non-valvular AF)
1 = low-moderate risk
2 = moderate-high risk
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3
Q

What scores are used for what age?

A
<65 = 0
65-74 = 1
>74 = 2
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4
Q

What scores are used for sex?

A
Female = 1
Male = 0
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5
Q

Name all parameters except for age and sex which give a score of 1 if present.

A

congestive heart failure history, hypertension history, vascular disease history, diabetes history

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6
Q

What parameter gives a score of 2 if present?

A

Stroke/TIA/thromboembolism history

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7
Q

What risk factors would you ask about in past medical history?

A
Congestive heart failure
Hypertension
Vascular disease
Diabetes
Previous stroke/TIA/VTE
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8
Q

What are the guidelines for anticoagulation based on the final score?

A

2 or more points = anticoagulation with warfarin or DOACs

1 point = aspirin alone or full anti-coagulation depending on patient

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