atrial fibrillation and stroke prevention - Continuing Medical ...
atrial fibrillation and stroke prevention - Continuing Medical ...
atrial fibrillation and stroke prevention - Continuing Medical ...
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Essentials in Primary Care Conference<br />
Wednesday, July 31, 2013<br />
CHADS 2 Limitations<br />
• CHF: independent predictive role inconsistent<br />
• HTN: <strong>stroke</strong> risk may vary with degree or<br />
method of HTN control<br />
• AGE: even at age 65, risk increases<br />
• GENDER: risk in women > men <strong>and</strong> women<br />
not accounted for<br />
• VASCULOPATHY: MI, PAD, AORTIC<br />
PLAQUE associated with increased <strong>stroke</strong> risk<br />
You JJ, et al. CHEST 2012;141(2)(Suppl):e531S-e575S<br />
CHA 2 DS 2 -VASc-Total Points 9<br />
2009 Birmingham Engl<strong>and</strong> Schema Expressed as a Point-Based Scoring System<br />
Risk Factor<br />
Score<br />
Congestive heart failure/LV dysfunction 1<br />
Hypertension 1<br />
Age 75 y 2<br />
Diabetes mellitus 1<br />
Stroke/TIA/TE 2<br />
Vascular disease<br />
(prior myocardial infarction, peripheral artery disease, or aortic plaque)<br />
Age 65-74 y 1<br />
Sex category<br />
(i.e. female gender)<br />
LV = left ventricular; TE = thromboembolism<br />
How different from CHADS2 score<br />
1<br />
1<br />
Lip GY, Nieuwlaat R, Pisters R, Lane DA, Crijns HJ. Chest. 2010 Feb;137(2):263-72.<br />
Jan Basile, MD<br />
Atrial Fibrillation & Stroke Prevention
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