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💗 CHADS₂ Atrial Fibrillation Stroke Risk

UseSelect each risk factor; the tool sums the points (0–6) and reports the annual stroke risk band.

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SourceJoglar JA, et al. 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibril…

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

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 failureNo
HypertensionNo
Age ≥75No
Diabetes mellitusNo
Prior stroke/TIA/thromboembolismNo

→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 failureYes (+1)
HypertensionYes (+1)
Age ≥75Yes (+1)
Diabetes mellitusYes (+1)
Prior stroke/TIA/thromboembolismYes (+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: —)
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