score 2: can any one explains this... - Atrial Fibrillati...

Atrial Fibrillation Support

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score 2

babs1234 profile image
13 Replies

can any one explains this please

CHA2DS2VASc score 2

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babs1234 profile image
babs1234
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13 Replies
BobD profile image
BobDVolunteer

Sorry, what do you not understand? Your Chadsvasc score is to decide if anticoagulation is appropriate. A score of 2 says yes it is. If you have AF your chances of a stroke are five times normal per year due to the possibility of clots forming in the heart. The Chadsvasc score helps doctors to decide those people who are most at risk. It takes into acccount medical conditionssuch as age, blood pressure, any diebetes, any previous stroke or TIA etc which may increase likelyhood.

bean_counter27 profile image
bean_counter27 in reply toBobD

Not everyone with AF is 5 times more likely to have a stroke. Your risk varies according to your individual circumstances. That's why there's a CHA2DS2-VASc scoring system to assist in assessing your risk. Even then it is only a guide to assist with decision making.

Cavalierrubie profile image
Cavalierrubie in reply tobean_counter27

Knowing the risk of stroke with AF is enough for me to make a decision and be first in the queue.

bean_counter27 profile image
bean_counter27 in reply toCavalierrubie

I can understand that.... and that's entirely your choice.... as it should be. However, my choice is based on my risk of stroke rather than the simple fact that having AF increases the risk of stroke. With a CHA2DS2-VASc score of 0 the experts say my risk of taking AC is greater than my risk of stroke i.e. taking AC is not recommended in my case. I expect that will change at some stage and when it does i will probably commence AC then.

Tomred profile image
Tomred in reply tobean_counter27

Hi Bean, do you use any naturals anti-. coagulants.

bean_counter27 profile image
bean_counter27 in reply toTomred

No. At least not that I know of.

DawnTX profile image
DawnTX in reply tobean_counter27

I don’t care what the numbers are knowing there is a possibility of stroke with a fib. You are never gonna take my anticoagulant from me. It was important enough for them to put on it before they even had a full diagnosis. do you know anyone who has had a stroke ask them what they would choose. Not gonna argue about numbers your life is changed forever. It is anyway with a fib to not be able to function you want to say etc., that is a nightmare. We have several people on here who have gone through that I have never even had. Those numbers mentioned to me. I have faith in my doctor. I had faith in that doctor. I don’t trust everybody, but if they are looking out for me that that’s good enough for me.

so sorry it appears that you would like to see a list with your name on it specifically I don’t think they have figured out how to do that yet so deciding because of a fib, etc., knowing what it does and proof that it does what it should and shouldn’t do is good enough for me as far as taking my Xarelto I have not had side effects. I have had four Knox in the head and one on the face recently I am here. I am I for doctor told me the other day. It probably saved my life with the last fall I took because of knocking my face head, etc., into a metal and wood wall. I ended up with two black eyes within a week, but that was it and they went away pretty fast.

I am not a follower. I don’t do everything just because it might happen just so you know. That’s why I don’t freak out over a fib, etc., and my pacemaker. Oh sure things can happen, but I could also walk out the door and get run over that has nothing to do with my heart, but sometimes an ounce of prevention is worth it that is how I view my anticoagulant. One little red pill every night with a fatty meal it even gives you a good meal lol I have an excuse to have something fatty.

We are all different. I was going to say we are not cookies but even cookies look different. If you put them side-by-side I say do it makes you feel best most of us out here just want to help protect each other.

bean_counter27 profile image
bean_counter27 in reply toDawnTX

I totally understand your view and would probably feel the same if my circumstances were the same as yours.I don't beleve in the cookie cutter approach either but I am an accountant so I definitely consider the statistics in my decision-making. That doesn't mean i blindly follow them.

I certainly don't want to have a stroke. However, my risk is obviously significantly lower than yours. So much so that taking AC is a bigger risk to my life and well-being than my risk of stroke. If/when that changes I expect to start taking AC but that's will be for discussion with my cardiologist. He can advise but I will decide.

Cavalierrubie profile image
Cavalierrubie in reply toDawnTX

Well said Dawn. It’s like ignoring a warning sign, thinking “It won’t happen to me.” It’s a risk too high to take. Anticoagulant is the most important drug that we Afibbers take. None of us, l am sure, like taking an anticoagulant. Mine makes me tired, but a small price to pay.

A neighbour of mine had a stroke. He didn’t know he had AF and was not diagnosed until after the event. Believe you me, if you could see him now ………….. It’s a wake up call.

Take care xxxxx

Chris.

DawnTX profile image
DawnTX in reply toCavalierrubie

I had an uncle who had a serious never made any recovery. He would cry because he wanted to talk to us. It was in his head, but could not come out his mouth among other things.

I don’t know which medication makes me tired. I wish it would make me sleep better. It could be any one of seven that I take. It certainly is not enough for me to play Russian roulette.

thank you for the support

baba profile image
baba

CHA2DS2VASc is a method of calculating the stroke risk in patients with Atrial Fibrillation.

I will add a link to more information.

healthunlocked.com/redirect...

This chart is from the leaflet "AF related stroke" in AF Association patient resources on the above link.

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HollieAdmin profile image
HollieAdminAdministratorAF Association

Hello,

Thank you for your post.

I would like to direct you to our Atrial fibrillation patient information booklet. It contains supportive information as well as a section about CHA2DS2VASc scoring that I do hope you find helpful: api.heartrhythmalliance.org...

If you would like any support, advice or further information, please do reach out to our dedicated Patient Services Team via Patient Helpline or via email, please visit: heartrhythmalliance.org/afa...

We are always here if you need us.

Kind regards,

HollieAdmin

opal11uk profile image
opal11uk

As lay people we do not know what all these stats and statements refer to so I am pleased you asked the question because now I know too! Hollie has pointed you in the right direction to learn more about our condition and the things we don't as yet understand.

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