CHA2DS2-VASc score for thromboembolic risk

in nonvalvular atrial fibrillation

Annual
Total
Risk criteria Points stroke
score
risk
Congestive heart
C 1 0 0.2%
failure
H Hypertension 1 1 0.6%
A2 Age ≥75* 2 2 2.2%
D Diabetes mellitus 1 3 3.2%
S2 Stroke or TIA 2 4 4.8%
Vascular disease (eg,
V 1 5 7.2%
PAD, prior MI)
A Age 65-74* 1 6 9.7%
Sc Sex category female 1 7 11.2%
Maximum score 9 8 10.8%
9 12.2%
Total score Generalized stroke Antithrombotic
Male Female** risk therapy

0 0 Low None
None or oral
1 2 Moderate
anticoagulant
≥2 ≥3 High Oral anticoagulant
*Patients are assigned to 1 of 2 age categories.
**Different cutoffs are used for males & females. Female sex is considered a risk modifier that adds
to the CHA2DS2-VASc score only if other nonsex risk factors are present (female patients cannot
have a total score of 1).
MI = myocardial infarction; PAD = peripheral artery disease; TIA = transient ischemic attack.