{"id":28845,"date":"2022-06-22T09:57:48","date_gmt":"2022-06-22T07:57:48","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=28845"},"modified":"2022-06-22T09:57:48","modified_gmt":"2022-06-22T07:57:48","slug":"cha2ds2-vasc-score","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/en\/digital-doctors-bag\/cha2ds2-vasc-score\/","title":{"rendered":"CHA2DS2-VASc Score"},"content":{"rendered":"<p>The CHA<sub>2<\/sub>DS<sub>2<\/sub>-VASc score is used for risk stratification of ischemic stroke and thromboembolism in patients with atrial fibrillation. Based on this, the necessity of therapeutic anticoagulation can be estimated. This score is a further development and improvement of the CHADS2 score.<br \/>\nTo assess the 1-year risk of major bleeding in patients with atrial fibrillation, the <a href=\"https:\/\/hosttech.inanutshell.ch\/en\/digital-doctors-case\/has-bled-score\/\">HAS-BLED score<\/a> can be used.<\/p>\n    <div class=\"medical-calculator cha2ds2\" id=\"medical-calculator-cha2ds2\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                    Congestive heart failure or left ventricular dysfunction\r\n                                <\/div>\r\n                <div class=\"col-sm-6 mt-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"heart-insufficiency\" id=\"medical-calculator-cha2ds2-heart-insufficiency-n\" value=\"N\" tabindex=\"1\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"heart-insufficiency\" id=\"medical-calculator-cha2ds2-heart-insufficiency-y\" value=\"Y\" tabindex=\"2\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                    Hypertension<br \/>\r\n                    <span class=\"label-lighter\">treated or untreated<\/span>\r\n                                <\/div>\r\n                <div class=\"col-sm-6 mt-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"arterial-hypertonia\" id=\"medical-calculator-cha2ds2-arterial-hypertonia-n\" value=\"N\" tabindex=\"3\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"arterial-hypertonia\" id=\"medical-calculator-cha2ds2-arterial-hypertonia-y\" value=\"Y\" tabindex=\"4\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                            Age\r\n                                    <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"age\" id=\"medical-calculator-cha2ds2-age-1\" value=\"1\" tabindex=\"5\" autocomplete=\"off\">\r\n                                                        &lt; 65 years\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"age\" id=\"medical-calculator-cha2ds2-age-2\" value=\"2\" tabindex=\"6\" autocomplete=\"off\">\r\n                                                        65\u201374 years (+1)\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"age\" id=\"medical-calculator-cha2ds2-age-3\" value=\"3\" tabindex=\"7\" autocomplete=\"off\">\r\n                                                        &ge; 75 years (+2)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label mt-auto\">\r\n                                    Diabetes mellitus\r\n                                <\/div>\r\n                <div class=\"col-sm-6 mt-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"diabetes\" id=\"medical-calculator-cha2ds2-diabetes-n\" value=\"N\" tabindex=\"8\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"diabetes\" id=\"medical-calculator-cha2ds2-diabetes-y\" value=\"Y\" tabindex=\"9\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                    Previous Stroke, transient ischemic attacks, or thromboembolism\r\n                                <\/div>\r\n                <div class=\"col-sm-6 mt-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"prev-strokes-or-embolia\" id=\"medical-calculator-cha2ds2-prev-strokes-or-embolia-n\" value=\"N\" tabindex=\"10\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"prev-strokes-or-embolia\" id=\"medical-calculator-cha2ds2-prev-strokes-or-embolia-y\" value=\"Y\" tabindex=\"11\" autocomplete=\"off\">\r\n                                                        Yes (+2)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label\">\r\n                                    Vascular disease<br \/>\r\n                    <span class=\"label-lighter\">previous myocardial infarction, peripheral arterial disease, or aortic plaque<\/span>\r\n                                <\/div>\r\n                <div class=\"col-sm-6 mt-3\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"vascular-diseases\" id=\"medical-calculator-cha2ds2-vascular-diseases-n\" value=\"N\" tabindex=\"12\" autocomplete=\"off\">\r\n                                                        No\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"vascular-diseases\" id=\"medical-calculator-cha2ds2-vascular-diseases-y\" value=\"Y\" tabindex=\"13\" autocomplete=\"off\">\r\n                                                        Yes (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-6 col-form-label mt-auto\">\r\n                                    Sex\r\n                                <\/div>\r\n                <div class=\"col-sm-6\">\r\n                    <div class=\"d-flex btn-group btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"gender\" id=\"medical-calculator-cha2ds2-gender-m\" value=\"m\" tabindex=\"14\" autocomplete=\"off\">\r\n                                                        Male\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary\">\r\n                            <input type=\"radio\" name=\"gender\" id=\"medical-calculator-cha2ds2-gender-f\" value=\"f\" tabindex=\"15\" autocomplete=\"off\">\r\n                                                        Female (+1)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/form>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <div id=\"medical-calculator-cha2ds2-result-text\" class=\"result-text\">\r\n                    <p><h5>                    CHA<sub>2<\/sub>DS<sub>2<\/sub>-VASc Score:\r\n                     <span id=\"medical-calculator-cha2ds2-result-value\"><\/span><\/h5><\/p>\r\n                    <p id=\"medical-calculator-cha2ds2-result-interpretation\"><\/p>\r\n                    <p>\r\n                        <ul>\r\n                            <li>                            Ischemic stroke:\r\n                                                        <span id=\"medical-calculator-cha2ds2-result-stroke-risk\"><\/span>\r\n                            <\/li>\r\n                            <li>                            Thromboembolism:\r\n                                                        <span id=\"medical-calculator-cha2ds2-result-embolism-risk\"><\/span>\r\n                            <\/li>\r\n                        <\/ul>\r\n                    <\/p>\r\n                    <p>                        Recommendation:\r\n                                        <span id=\"medical-calculator-cha2ds2-result-recommendation\"><\/span>\r\n                    <\/p>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            Interpretation\r\n                                    <\/h5>\r\n                <div class=\"table-responsive-sm\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th>\r\n                                                                            Points\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Risk for ischemic stroke\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Risk for thromboembolism\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Recommendation\r\n                                                                    <\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr class=\"table-row-a\">\r\n                                <td>\r\n                                                                            0\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            0.2 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            0.2 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            <p>Low risk for ischemic stroke and thromboembolism<\/p>\r\n                                        <p>Anticoagulation rather not required<\/p>\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-b\">\r\n                                <td>\r\n                                                                            1\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            0.6 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            0.9 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            <p>Intermediate risk for ischemic stroke and thromboembolism<\/p>\r\n                                        <p>Consider anticoagulation<\/p>\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-c\">\r\n                                <td>\r\n                                                                            2\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            2.2 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            2.9 %\r\n                                                                    <\/td>\r\n                                <td rowspan=\"9\">\r\n                                                                            <p>High risk of ischemic stroke and thromboembolism<\/p>\r\n                                        <p>Anticoagulation recommended<\/p>\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-d\">\r\n                                <td>\r\n                                                                            3\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            3.2 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            4.6 %\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-e\">\r\n                                <td>\r\n                                                                            4\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            4.8 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            6.7 %\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-f\">\r\n                                <td>\r\n                                                                            5\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            7.2 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            10 %\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-g\">\r\n                                <td>\r\n                                                                            6\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            9.7 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            13.6 %\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-h\">\r\n                                <td>\r\n                                                                            7\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            11.2 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            15.7 %\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-i\">\r\n                                <td>\r\n                                                                            8\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            10.8 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            15.2 %\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                            <tr class=\"table-row-j\">\r\n                                <td>\r\n                                                                            9\r\n                                                                        \r\n                                <\/td>\r\n                                <td>\r\n                                                                            12.2 %\r\n                                                                    <\/td>\r\n                                <td>\r\n                                                                            17.4 %\r\n                                                                    <\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                            References\r\n                                    <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"cha2ds2-cite-note-1\">Lip GY, Nieuwlaat R, Pisters R et al. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation. Chest 2010; 137: 263-272<\/li>\r\n                    <li id=\"cha2ds2-cite-note-2\">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; 33: 1500-1510<\/li>\r\n                    <li id=\"cha2ds2-cite-note-3\">Hindricks G, Potpara T, Dagres N et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS). Eur Heart J 2020:<\/li>                    \r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_cha2ds2_messages = {\r\n            'interpretation_0' : 'Low risk for ischemic stroke and thromboembolism',\r\n            'interpretation_1' : 'Intermediate risk for ischemic stroke and thromboembolism',\r\n            'interpretation_2-9' : 'High risk of ischemic stroke and thromboembolism',\r\n            'recommendation_0' : 'Anticoagulation rather not required',\r\n            'recommendation_1' : 'Consider anticoagulation',\r\n            'recommendation_2-9' : 'Anticoagulation recommended',\r\n            'point' : 'point',\r\n            'points' : 'points'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>The CHA2DS2-VASc score is used for risk stratification of ischemic stroke and thromboembolism in patients with atrial fibrillation. Based on this, the necessity of therapeutic anticoagulation can be estimated. This score is a further development and improvement of the CHADS2 score. To assess the 1-year risk of major bleeding in patients with atrial fibrillation, the [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":28833,"menu_order":140,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-28845","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28845","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/comments?post=28845"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28845\/revisions"}],"predecessor-version":[{"id":28846,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28845\/revisions\/28846"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/pages\/28833"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/en\/wp-json\/wp\/v2\/media?parent=28845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}