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Atrial fibrillation

CHA₂DS₂-VA score

Stroke risk in atrial fibrillation (ESC 2024)

  • Results update as you type
  • For healthcare professionals
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CHA₂DS₂-VA

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Age
Sex (for CHA₂DS₂-VASc only)

About this calculator

Estimates stroke risk in atrial fibrillation to guide oral anticoagulation. The 2024 ESC guidelines use CHA₂DS₂-VA, which no longer counts female sex. The older CHA₂DS₂-VASc score is shown alongside.

Points

ItemPoints
Congestive heart failure1
Hypertension1
Age 75 or over2
Diabetes1
Stroke, TIA or thromboembolism2
Vascular disease1
Age 65 to 741
Female sex (CHA₂DS₂-VASc only)1

How to read the result

ResultMeaning
0Oral anticoagulation not needed for stroke prevention
1Oral anticoagulation should be considered
2 or moreOral anticoagulation is recommended

References

  1. Van Gelder IC, et al. 2024 ESC Guidelines for the management of atrial fibrillation. Eur Heart J. 2024;45:3314-3414.
  2. Lip GYH, et al. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach. Chest. 2010;137:263-272.