CHA₂DS₂-VA

Stroke risk in atrial fibrillation (ESC 2024, sex removed)

CHA₂DS₂-VA

Stroke risk in atrial fibrillation (ESC 2024, sex removed)

0
0 — low

Oral anticoagulation generally not indicated on score alone.

ESC 2024 dropped the sex category; the older CHA₂DS₂-VASc adds 1 point for female sex. Check which version your local pathway uses.

Source: ESC 2024 Guidelines for the management of atrial fibrillation — CHA₂DS₂-VA (female sex removed as a scoring criterion).Open

Interpretation

  • 0 — low — Oral anticoagulation generally not indicated on score alone.
  • 1 — intermediate — Anticoagulation should be considered, weighing bleeding risk.
  • ≥ 2 — high — Oral anticoagulation is recommended.

ESC 2024 dropped the sex category; the older CHA₂DS₂-VASc adds 1 point for female sex. Check which version your local pathway uses.

Source: ESC 2024 Guidelines for the management of atrial fibrillation — CHA₂DS₂-VA (female sex removed as a scoring criterion).

These tools do not replace clinical judgement. Interpret the result in the context of the whole patient.