CHA₂DS₂-VASc Score

Calculate the CHA₂DS₂-VASc score for stroke risk in non-valvular atrial fibrillation.

Formula

C(1)+H(1)+A₂(2)+D(1)+S₂(2)+V(1)+A(1)+Sc(1); max = 9
  • Score ≥2 in men or ≥3 in women: anticoagulation generally recommended (ESC 2020).
  • Female sex alone (score=1) does not warrant anticoagulation.
  • For clinical use — confirm with ESC/ACC guidelines.

CHA₂DS₂-VASc Example

Inputs
  • Congestive Heart Failure: 0
  • Hypertension: 1
  • Age ≥ 75 years: 0
  • Diabetes Mellitus: 1
  • Prior Stroke / TIA / Thromboembolism: 0
  • Vascular Disease (MI, PAD, aortic plaque): 0
  • Age 65–74 years: 0
  • Female Sex: 0

HTN(1) + DM(1) = score 2. Annual stroke risk ~2.2%. Anticoagulation recommended.

Frequently asked questions

What does the score mean?
Higher scores = higher stroke risk. Score ≥2 in men, ≥3 in women generally indicates anticoagulation is beneficial.