Räknare

Bedömning

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

RiskfaktorPoäng
CCongestive heart failure
Signs/symptoms of heart failure or objective evidence of reduced left ventricular ejection fraction
1
HHypertension
Resting blood pressure >140/90 mmHg on at least two occasions or current antihypertensive treatment
1
A₂Age 75 years or older2
DDiabetes mellitus
Fasting glucose >7 mmol/L or treatment with oral hypoglycaemic agent and/or insulin
1
S₂Previous stroke, transient ischaemic attack, or thromboembolism2
VVascular disease
Previous myocardial infarction, peripheral artery disease, or aortic plaque
1
AAge 65–74 years1
ScSex 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

praktisk använding av chads-vasc score i beslutfattning om antikoagulation för förmaksflimmer
fig 12 in ESC guideline förmaksflimmer 2020

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)

Last Updated on September 4, 2021 by Christian Dworeck

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