CHADS2VASC Flashcards

1
Q

What does CHADS2VASC assess?

A

The stroke risk for patients with AF

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2
Q

What does the CHADS2VASC score comprise of?

A
Congestive heart failure 
Hypertension
Age (75+=2, 65-74=1)
Diabetes
Sex (female = 1)
Stroke
Peripheral Vascular Disease
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3
Q

What is a score of 0?

A

Low risk

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4
Q

What is a score of 1?

A

Low-Moderate Risk

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5
Q

What is a score of 2+?

A

Moderate to high risk

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6
Q

What do you do in a CHADS2VASC score of 2+?

A

Offer anticoagulation on DOAC - Apixaban/riveroxeban (If not tolerated, warfarin)
Offer lifestyle advice

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7
Q

What do you do in a CHADS2VASC score of 1?

A

Consider anticoagulation.

Offer lifestyle advice

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8
Q

What advice would you give to a patient starting on warfarin?

A
Daily INR
Tetarogenic
Can interfere with other medications
Increased bleeding risk 
Vitamin K (leafy greens) can interact with warfarin
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9
Q

What advice would you give to a patient starting on a NOAC? E.g. apixaban, rivaroxaban

A

Non-reversible, increased bleeding risk

Contraindicated in: Renal impairment, previous GI bleed

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