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 />
Stroke Risk Stratification in AF<br />
Total Score<br />
0<br />
1<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
9<br />
NRAF Adjusted Stroke<br />
Rate (%)*<br />
CHADS 2<br />
1.9<br />
2.8<br />
4.0<br />
5.9<br />
8.5<br />
12.5<br />
18.2<br />
CHA 2 DS 2 -VASc<br />
0<br />
1.3<br />
2.2<br />
3.2<br />
4.0<br />
6.7<br />
9.8<br />
9.6<br />
6.7<br />
15.2<br />
*The adjusted <strong>stroke</strong> rate is the expected <strong>stroke</strong> rate<br />
per 100 patient-years from the exponential survival<br />
model, assuming that aspirin was not taken.<br />
NRAF = National Registry of Atrial Fibrillation.<br />
Lip GY, et al. Am J Med. 2010;123(6):484-488.<br />
Camm AJ, et al. Eur Heart J. 2010;31(19):2369-2429.<br />
Gage BF, et al. JAMA. 2001;285(22):2864-2870.<br />
Risk Factor<br />
CHF<br />
HTN<br />
Age 75 years<br />
Diabetes mellitus<br />
Stroke<br />
CHADS 2<br />
CHA 2 DS 2 -VASc<br />
Score<br />
1<br />
1<br />
1<br />
1<br />
2<br />
Risk Factor<br />
Score<br />
CHF 1<br />
HTN 1<br />
Age 75 years 2<br />
Diabetes mellitus 1<br />
Stroke 2<br />
Vascular disease (MI, peripheral<br />
arterial disease, aortic atherosclerosis)<br />
1<br />
Age 65-74 years 1<br />
Sex category (female) 1<br />
Where<br />
CHA 2 DS 2 -VASc<br />
Might Help?<br />
Jan Basile, MD<br />
Atrial Fibrillation & Stroke Prevention
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