{"id":13824,"date":"2020-10-27T09:17:05","date_gmt":"2020-10-27T08:17:05","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=13824"},"modified":"2020-10-27T09:17:05","modified_gmt":"2020-10-27T08:17:05","slug":"score-cha2ds2-vasc","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/fr\/calculateurs\/score-cha2ds2-vasc\/","title":{"rendered":"Score CHA<sub>2<\/sub>DS<sub>2<\/sub>-VASc"},"content":{"rendered":"<p>Le score CHA<sub>2<\/sub>DS<sub>2<\/sub>-VASc sert \u00e0 stratifier le risque d&rsquo;AVC et de thromboembolie des patients avec fibrillation auriculaire. Il permet donc d\u2019\u00e9valuer la n\u00e9cessit\u00e9 d\u2019une anticoagulation. Ce score reprend et am\u00e9liore le score CHADS<sub>2<\/sub>. Le <a href=\"https:\/\/www.inanutshell.ch\/fr\/calculateurs\/has-bled-score\/\">score HAS-BLED<\/a> permet d\u2019\u00e9valuer le risque de saignement majeur \u00e0 1 an chez les patients  avec fibrillation auriculaire.<\/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                                    Insuffisance cardiaque ou dysfonction ventriculaire gauche\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                                                        Non\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                                                        Oui (+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 art\u00e9rielle<br \/>\r\n                    <span class=\"label-lighter\">non contr\u00f4l\u00e9e ou trait\u00e9e<\/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                                                        Non\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                                                        Oui (+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                                            \u00c2ge\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 ans\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 ans (+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 ans (+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                                    Diab\u00e8te\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                                                        Non\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                                                        Oui (+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                                    Ant\u00e9c\u00e9dents d\u2019AVC, AIT ou thromboembolie\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                                                        Non\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                                                        Oui (+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                                    Maladie vasculaire<br \/>\r\n                    <span class=\"label-lighter\">ant\u00e9c\u00e9dents d\u2019infarctus du myocarde, d\u2019art\u00e9riopathie oblit\u00e9rante ou de plaque aortique<\/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                                                        Non\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                                                        Oui (+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                                    Sexe\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                                                        Homme\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                                                        Femme (+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>                    Score CHA<sub>2<\/sub>DS<sub>2<\/sub>-VASc:\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>                            Risque d'AVC:\r\n                                                        <span id=\"medical-calculator-cha2ds2-result-stroke-risk\"><\/span>\r\n                            <\/li>\r\n                            <li>                            Risque thromboembolique:\r\n                                                        <span id=\"medical-calculator-cha2ds2-result-embolism-risk\"><\/span>\r\n                            <\/li>\r\n                        <\/ul>\r\n                    <\/p>\r\n                    <p>                        Recommandation:\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                                            Interpr\u00e9tation\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                                                                            Risque d'AVC\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Risque thromboembolique\r\n                                                                    <\/th>\r\n                                <th>\r\n                                                                            Recommandation\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>Le risque d'AVC et de thromboembolie est faible<\/p>\r\n                                        <p>Pas d'anticoagulation<\/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>Le risque d'AVC et de thromboembolie est mod\u00e9r\u00e9<\/p>\r\n                                        <p>Envisager l'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>Le risque d'AVC et de thromboembolie est \u00e9lev\u00e9<\/p>\r\n                                        <p>L'anticoagulation est recommand\u00e9e<\/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                                            R\u00e9f\u00e9rences\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' : 'Le risque d\\'AVC et de thromboembolie est faible',\r\n            'interpretation_1' : 'Le risque d\\'AVC et de thromboembolie est mod\u00e9r\u00e9',\r\n            'interpretation_2-9' : 'Le risque d\\'AVC et de thromboembolie est \u00e9lev\u00e9',\r\n            'recommendation_0' : 'Pas d\\'anticoagulation',\r\n            'recommendation_1' : 'Envisager l\\'anticoagulation',\r\n            'recommendation_2-9' : 'L\\'anticoagulation est recommand\u00e9e',\r\n            'point' : 'point',\r\n            'points' : 'points'\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>Le score CHA2DS2-VASc sert \u00e0 stratifier le risque d&rsquo;AVC et de thromboembolie des patients avec fibrillation auriculaire. Il permet donc d\u2019\u00e9valuer la n\u00e9cessit\u00e9 d\u2019une anticoagulation. Ce score reprend et am\u00e9liore le score CHADS2. Le score HAS-BLED permet d\u2019\u00e9valuer le risque de saignement majeur \u00e0 1 an chez les patients avec fibrillation auriculaire.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":7598,"menu_order":566,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-13824","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13824","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/comments?post=13824"}],"version-history":[{"count":1,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13824\/revisions"}],"predecessor-version":[{"id":13825,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/13824\/revisions\/13825"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7598"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/media?parent=13824"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}