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. 2019 Dec 2;42(6):186–191. doi: 10.18773/austprescr.2019.067

Table 1. The CHA2DS2-VA score.

Risk factor Definition Points
C Congestive heart failure which includes:
symptomatic HFrEF and HFpEF
moderately–severely reduced left ventricular function in the absence of previous symptoms
1
H Hypertension – whether or not blood pressure is currently elevated 1
A Age ≥75 years 2
D Diabetes 1
S Previous stroke or transient ischaemic attack or history of systemic thromboembolism 2
V Presence of vascular disease:
• previous myocardial infarction, or
• peripheral arterial disease, or
• complex aortic atheroma or plaque on imaging
1
A Age 65–74 years 1

Oral anticoagulation therapy to prevent stroke and systemic embolism is recommended in patients with non-valvular atrial fibrillation whose CHA2DS2-VA score is ≥2 (high quality of evidence), unless there are contraindications to anticoagulation, and should be considered strongly if CHA2DS2-VA score is 1 (moderate quality of evidence).3

HFrEF heart failure with reduced ejection fraction

HFpEF heart failure with preserved ejection fraction

Source: reference 3