/CHADS2 Score

CHADS2 Score

Classic AFib stroke risk predictor

Total Score

0

Low risk. Aspirin or no therapy recommended.

00Low
11Moderate
26High

Disclaimer: The clinical scoring and algorithms on this platform are intended strictly for professional informational purposes. They do not constitute a definitive medical diagnosis, treatment, or clinical decision. The final judgment and responsibility lie with the treating physician.

Yasal Uyarı: Bu platformdaki klinik skorlamalar ve algoritmalar yalnızca sağlık profesyonellerini bilgilendirme amaçlıdır. Herhangi bir kesin tıbbi teşhis, tedavi veya klinik karar yerine geçemez. Nihai karar ve sorumluluk hastayı yatak başında değerlendiren hekime aittir.

Clinical Overview

The CHADS2 score is a historic clinical prediction rule for estimating the risk of stroke in patients with non-rheumatic atrial fibrillation. It scores Congestive heart failure, Hypertension, Age ≥75, Diabetes mellitus, and prior Stroke or TIA. While foundational to modern cardiology, most major guidelines (AHA/ACC, ESC) now recommend the CHA2DS2-VASc score for better discrimination of truly low-risk patients.

Clinical Pearl

Although largely superseded, CHADS2 is still referenced in older literature, legacy electronic health records, and certain specialized studies (e.g., specific post-op AF protocols). However, a CHADS2 score of 0 does not reliably mean the patient is low risk; hence the shift to CHA2DS2-VASc.

Pitfalls & Warnings

  • Fails to account for vascular disease, female sex, and the 65-74 age range, potentially leaving moderate-risk patients un-anticoagulated.
  • Should not be used for current clinical decision-making regarding initiation of DOACs or Warfarin.

Academic References

Gage BF, Waterman AD, Shannon W, Boechler M, Rich MW, Radford MJ. Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation. JAMA. 2001;285(22):2864-2870.

Disclaimer: The clinical scoring and algorithms on this platform are intended strictly for professional informational purposes. They do not constitute a definitive medical diagnosis, treatment, or clinical decision. The final judgment and responsibility lie with the treating physician.