💗 CHADS₂ Atrial Fibrillation Stroke Risk
UseSelect each risk factor; the tool sums the points (0–6) and reports the annual stroke risk band.
SourceJoglar JA, et al. 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibril…
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
CHADS₂ underestimates risk in some 'low-risk' patients that CHA₂DS₂-VASc reclassifies upward via sex, vascular disease, and age 65–74.
When to use
Select each risk factor; the tool sums the points (0–6) and reports the annual stroke risk band.
How it works
CHADS₂ = congestive heart failure (1) + hypertension (1) + age ≥75 (1) + diabetes (1) + prior stroke/TIA (2). Annual stroke risk rises from ~1.9% at 0 to ~18.2% at 6.
Key points
- CHADS₂ underestimates risk in some 'low-risk' patients that CHA₂DS₂-VASc reclassifies upward via sex, vascular disease, and age 65–74.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Congestive heart failure | No |
|---|---|
| Hypertension | No |
| Age ≥75 | No |
| Diabetes mellitus | No |
| Prior stroke/TIA/thromboembolism | No |
→CHADS₂0/6 · annual stroke risk ~1.9% (Low risk)
- Components:HF +1, hypertension +1, age ≥75 +1, diabetes +1, prior stroke/TIA +2.
- Annual stroke risk:0≈1.9% · 1≈2.8% · 2≈4.0% · 3≈5.9% · 4≈8.5% · 5≈12.5% · 6≈18.2% (Gage 2001).
- Note:—
| Congestive heart failure | Yes (+1) |
|---|---|
| Hypertension | Yes (+1) |
| Age ≥75 | Yes (+1) |
| Diabetes mellitus | Yes (+1) |
| Prior stroke/TIA/thromboembolism | Yes (+2) |
→CHADS₂6/6 · annual stroke risk ~18.2% (Moderate–high risk)
- Components:HF +1, hypertension +1, age ≥75 +1, diabetes +1, prior stroke/TIA +2.
- Annual stroke risk:0≈1.9% · 1≈2.8% · 2≈4.0% · 3≈5.9% · 4≈8.5% · 5≈12.5% · 6≈18.2% (Gage 2001).
- Note:—
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using CHADS₂ Atrial Fibrillation Stroke Risk?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does CHADS₂ Atrial Fibrillation Stroke Risk upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is CHADS₂ Atrial Fibrillation Stroke Risk calculated in practice? Can you show a worked example?
- Inputs: Congestive heart failure No, Hypertension No, Age ≥75 No, Diabetes mellitus No, Prior stroke/TIA/thromboembolism No → Result: CHADS₂ 0 /6 · annual stroke risk ~1.9% (Low risk)(Components: HF +1, hypertension +1, age ≥75 +1, diabetes +1, prior stroke/TIA +2., Annual stroke risk: 0≈1.9% · 1≈2.8% · 2≈4.0% · 3≈5.9% · 4≈8.5% · 5≈12.5% · 6≈18.2% (Gage 2001)., Note: —) Inputs: Congestive heart failure Yes (+1), Hypertension Yes (+1), Age ≥75 Yes (+1), Diabetes mellitus Yes (+1), Prior stroke/TIA/thromboembolism Yes (+2) → Result: CHADS₂ 6 /6 · annual stroke risk ~18.2% (Moderate–high risk)(Components: HF +1, hypertension +1, age ≥75 +1, diabetes +1, prior stroke/TIA +2., Annual stroke risk: 0≈1.9% · 1≈2.8% · 2≈4.0% · 3≈5.9% · 4≈8.5% · 5≈12.5% · 6≈18.2% (Gage 2001)., Note: —)