Skor CHA(2)DS(2)VASc Untuk Risiko Stroke Pada AF

Catatan:

• Artikel Lip-Halperin berupaya untuk meningkatkan stratifikasi risiko stroke dari skor CHADS (2) dengan menambahkan lebih banyak poin untuk usia> = 75 dan penyakit vaskular.
• Artikel tersebut menunjukkan aspirin atau sedang menjalani pengobatan untuk skor 0, dan antikoagulan oral dengan skor 2 atau lebih.
• Angka-angka risiko stroke disesuaikan dengan yang tercantum pada Pedoman AHA / ACC / HRS yang tercantum di bawah ini.

Referensi:

1. Cairns JA. ACP journal club. CHA2DS2-VASc had better discrimination than CHADS2 for predicting risk for thromboembolism in atrial fibrillation. Ann Intern Med. 2011 May 17;154(10):JC5-13. doi: 10.1059/0003-4819-154-10-201105170-02013.
2. Olesen JB, Lip GY, Hansen ML, et. al. Validation of risk stratification schemes for predicting stroke and thromboembolism in patients with atrial fibrillation: nationwide cohort study. BMJ. 2011 Jan 31;342:d124. doi: 10.1136/bmj.d124.
3. January CT, Wann LS, Alpert JS, et. al. 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2014 Mar 28. pii: S0735-1097(14)01740-9.
4. Lip GY, Halperin JL. Improving stroke risk stratification in atrial fibrillation. Am J Med. 2010 Jun;123(6):484-8. Review.
5. MedCalc CrossRef: Atrial Fibrillation CHADS(2) Score for Stroke Risk
6. Gage BF, Andrade A. ACP Journal Club. Various risk stratification schemes predict ischemic stroke and bleeding in atrial fibrillation. Ann Intern Med. 2012 Oct 16;157(8):JC4-13. doi: 10.7326/0003-4819-157-8-201210160-02013.
7. Friberg L, Rosenqvist M, Lip GY. Evaluation of risk stratification schemes for ischaemic stroke and bleeding in 182 678 patients with atrial fibrillation: the Swedish Atrial Fibrillation cohort study. Eur Heart J. 2012 Jun;33(12):1500-10. doi: 10.1093/eurheartj/ehr488. Epub 2012 Jan 13.