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Atrial fibrillation

Prevalence
Causes
Clinical features
Investigations
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Prognosis

Use the following clinical prediction rule to determine your patient's risk of having a stroke.b  

Clinical prediction rule to rank your patient's risk of a stroke

CHAD-2 stroke risk factors b     Score
Congestive hear failure +1
Hypertension +1
Aged 75 or older +1
Diabetes mellitus +1
History of stroke or transient ischaemic attack +2

Risk of a stroke 

Score b   risk of a stroke
0 to 2 low
3 to 5 medium
6 high

 

Why?

5 factors can help predict the risk of stroke 

Score b     % with stroke
at 1.2 years
NNF
(95% CI)
0 1.7%
(0.0% to 4.0%)
60
(25 to infinity)
1 3.7%
(2.0% to 5.4%)
27
(19 to 51)
2 4.4%
(2.6% to 6.2%)
23
(16 to 38)
3 7.4%
(4.6% to 10.2%)
13
(10 to 22)
4 8.6%
(4.9% to 12.3%)
12
(8 to 20)
5 9.2%
(2.2% to 16.3%)
11
(6 to 46)
6 40.0%
(0.0% to 82.9%)
3
(1 to infinity)

Expiry date: February 2003
Levels of Evidence used in grading these guides

Authors   CM   Ball , N   Shenker
Reviewer   R G   Hart
CAT Writers   CM   Ball , N   Shenker , CJ   Wotton