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Rekommendation för OAK ESC 2020 [1]Hindricks G, Potpara T, Dagres N, Arbelo E, Bax JJ, Blomström-Lundqvist C, Boriani G, Castella M, Dan GA, Dilaveris PE, Fauchier L, Filippatos G, Kalman JM, La Meir M, Lane DA, Lebeau JP, Lettino M, … Continue reading
- Män:
- CHA₂DS₂-VASc-Score ≥ 2: OAK rekommenderas (ESC IA)
- CHA₂DS₂-VASc-Score =1 “should be considered” (ESC IIA), “considering individual characteristics and patient preferences”
- Kvinnor:
- CHA₂DS₂-VASc-Score ≥ 3: OAK rekommenderas (ESC IA)
- CHA₂DS₂-VASc-Score =2 “should be considered” (ESC IIA), “considering individual characteristics and patient preferences”
CHA₂DS₂-VASc-Score: Förklaring av riskfaktorer
CHA₂DS₂-VASc-Score[2]Lip GY, Nieuwlaat R, Pisters R, Lane DA, Crijns HJ. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: … Continue reading ska användas (ESC IA indikation) för bedömning av stroke-risken och vid beslutsfattning om oral antikoagulation (OAK) hos patienter med förmaksflimmer. [3]Kirchhof P, Benussi S, Kotecha D, et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2016;37(38):2893-2962. … Continue reading
| Riskfaktor | Poäng | |
|---|---|---|
| C | Congestive heart failure Signs/symptoms of heart failure or objective evidence of reduced left ventricular ejection fraction | 1 |
| H | Hypertension Resting blood pressure >140/90 mmHg on at least two occasions or current antihypertensive treatment | 1 |
| A₂ | Age 75 years or older | 2 |
| D | Diabetes mellitus Fasting glucose >7 mmol/L or treatment with oral hypoglycaemic agent and/or insulin | 1 |
| S₂ | Previous stroke, transient ischaemic attack, or thromboembolism | 2 |
| V | Vascular disease Previous myocardial infarction, peripheral artery disease, or aortic plaque | 1 |
| A | Age 65–74 years | 1 |
| Sc | Sex category (female) | 1 |
ESC-tabell: detaljerat om riskfaktorer
ESC 2020: Tabell med detaljförklaring av varje riskfaktor: (klicka på dropdown)
Hur CHA₂DS₂-VASc-Score ska användas
Relaterad sida
Litteratur
ESC guideline förmaksflimmer 2020 [4]Hindricks G, Potpara T, Dagres N, Arbelo E, Bax JJ, Blomström-Lundqvist C, Boriani G, Castella M, Dan GA, Dilaveris PE, Fauchier L, Filippatos G, Kalman JM, La Meir M, Lane DA, Lebeau JP, Lettino M, … Continue reading
ESC guidline förmaksflimmer 2016
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 [5]Lip GY, Nieuwlaat R, Pisters R, Lane DA, Crijns HJ. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: … Continue reading (CHA₂DS₂-VASc-Score publikation)
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