Chad score

[Mary4711]

Hi everyone ,hope your all as well as you can be ,and are enjoying the summer weather.i just received a letter from my Consultant at the Pain Clinic I visit.I am A. F since March .I take Apixaban.In the letter he mentions I have a Chads score as 2 . This was never discussed with me ,when in A .F. clinic .I have no idea whether 2 is good or not so good .So hoping someone more knowledgeable can enlighten me .Thank you All for your ongoing support. Regards Pamela.

[jwsonoma]

Hello Mary,

CHADS is an easy questionnaire used by your doctor to assess your risk of a stroke and if you should be on anticoagulants. A score of 2 or more indicates a high enough risk of a stroke that you should be on an anticoagulant. The test is easy and you can find it on google and do it your self. Simple easy questions you can answer.

This link explains the newer test. en.wikipedia.org/wiki/CHA2D...

From the link.

"The European Society of Cardiology (ESC),[16] and National Institute for Health and Care Excellence (NICE)[18] guidelines recommend that if the patient has a CHA2DS2-VASc score of 2 and above, oral anticoagulation therapy (OAC) with a Vitamin K Antagonist (VKA, e.g. warfarin with target INR of 2-3) or one of the non-VKA oral anticoagulant drugs (NOACs, e.g. dabigatran, rivaroxaban, edoxaban, or apixaban) is recommended."

I would discuss it with your doc. sooner rather than later.

Good Luck

[Mary4711 in reply to jwsonoma]

Thank you so much for your informative reply ,I looked at a few posts ,so now have more knowledge .Best Wishes Pamella.

[Hidden]

Hello Mary, there is lots of information about the CHADsVASc score method on the AF Association webpage. The lower the score, the better but females get a 1 for being female, which seems a bit sexist, but as I understand it, is more due to oestrogen levels. The other point in your case may relate to age or some other condition such as high blood pressure or diabetes, but it’s easy to check..........

[Mary4711 in reply to Hidden]

Thank you so much for your informative reply ,much appreciated Best wishes Pamela.

[IanMK]

A score of 2 represents a relatively low stroke risk but, nevertheless, is generally considered the level that an anticoagulant is used. Your consultant was probably simply justifying the appropriateness of the Apixaban that you take.

[Mary4711 in reply to IanMK]

Thank you so much for your reply ,very helpful, I now have more knowledge on the subject.sometimes you can get more information from this site ,than from the A.F Dept you are dealing with ,when first diagnosed with A.F.,I had to ask a lot of questions to get answers myself.The Doctors who first diagnosed me were brilliant,as were the anticoagulant nurses,Thank you again Best Wishes Pamela.