What is the scoring system for stroke risk assessment in patients with holiday heart syndrome (HHS)?

Updated: May 30, 2018
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jose M Dizon, MD  more...
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However, the 2014 AHA/ACC/HRS and 2012 updated ESC guidelines both recommend that the CHADS2 score be replaced with the more comprehensive CHA2DS2-VASc score (Congestive heart failure, Hypertension, Age ≥75 years [doubled], Diabetes mellitus, Prior Stroke or TIA or thromboembolism [doubled], Vascular disease, Age 65 to 74 years, Sex category). [30, 31] In this scoring system, points are assigned as follows [38] :

  • Congestive heart failure (CHF): 1 point
  • Hypertension: 1 point
  • Age ≥75 years: 2 points
  • Diabetes: 1 point
  • Stroke, TIA, or thromboembolism history: 2 points
  • Vascular disease (myocardial infarction [MI], peripheral arterial disease, aortic plaque): 1 point
  • Age 65-74 years: 1 point
  • Sex category (female sex): 1 point

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