CHA2DS2-VASc Stroke Risk Calculator

Your details

Female sex adds 1 point. However, female sex alone (score of 1) is not considered a net stroke risk factor by most guidelines.
Age 65-74 contributes 1 point; age 75 or older contributes 2 points (the "A" and "A2" in the acronym).
History of congestive heart failure, or moderate-to-severe left ventricular dysfunction (ejection fraction <= 40%).
Resting blood pressure above 140/90 mmHg on at least two occasions, or current antihypertensive treatment.
Fasting glucose above 125 mg/dL (7 mmol/L) or treatment with oral hypoglycaemics or insulin.
Prior ischaemic stroke, transient ischaemic attack, or systemic thromboembolism. This carries 2 points ("S2") because a previous event is the single strongest predictor of future stroke.
Prior myocardial infarction, peripheral artery disease, or aortic plaque confirmed on imaging.
CHA2DS2-VASc ScoreVery low risk
0

Total score (0-9)

Annual Stroke Risk0.2%
Anticoagulation GuidanceNo anticoagulation indicated. Low risk.
Risk CategoryVery low
0 pts
Very low<1Low-moderate1-2Moderate2-5High5+

CHA2DS2-VASc Score: 0 - Very low risk (0.2% annual stroke risk).

  • Your CHA2DS2-VASc score of 0 corresponds to an estimated annual stroke risk of about 0.2%.
  • Before starting anticoagulation, also assess bleeding risk using the HAS-BLED score and involve the patient in shared decision-making.

Next stepNo anticoagulation is needed at this time. Reassess annually or if new risk factors develop.

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