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How to Calculate C H A D S V A Sc

What is C H A D S V A Sc?

CHADS₂-VASc score predicts stroke risk in atrial fibrillation patients. It guides anticoagulation decisions and risk stratification.

Step-by-Step Guide

  1. 1Assign points for: CHF, Hypertension, Age ≥75 (2 pts), Diabetes, Stroke/TIA/thromboembolism, Vascular disease, Age 65-74, Sex (female)
  2. 2Total score 0-9; higher indicates more stroke risk
  3. 3Score guides anticoagulation recommendations

Worked Examples

Input
Age 72, HTN, CHF, no diabetes, female
Result
CHADS₂-VASc = 4 (moderate-high risk)
Anticoagulation likely recommended

Common Mistakes to Avoid

  • Confusing CHADS₂-VASc with CHADS₂ (different scoring)
  • Not updating score when risk factors change

Frequently Asked Questions

Why age 75 scores double?

Age 75+ shows dramatically increased stroke risk, warranting stronger anticoagulation recommendations.

What score means no anticoagulation needed?

Score 0 males and score 1 females may not need anticoagulation; all others should be considered.

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