If the patient has a history of congestive heart failure, their score has 1 point added.
1 point is added to the patient's score if they have a history of hypertension.
Patients over 75 years old have 2 points added to their cumulative score.
1 point is added to the CHA2DS2-VASC score if the patient has diabetes.
If the patient has had a stroke, TIA (transient ischemic attack), or has a history of thromboembolism in the past, they are given a score has 2 points added.
A history of vascular disease, such as peripheral artery disease, myocardial infarction, or aortic plaque warrants adding 1 point to the patient's score.
Those aged between 65 to 75 years old have 1 point added to their score.
Females have 1 point added to their score.
When the patient a score of 0, anticoagulation is not indicated.
If the patient with atrial fibrillation scores 1 on their CHA2DS2-VASc, the healthcare provider should consider anticoagulation therapy in the patient.
If the patient scores 2 or above on the the CHA2DS2-VASc clinical calculator, anticoagulation is recommended.
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