Stroke Risk Assessment

The incidence of atrial fibrillation in the aging population continues to increase in frequency and predisposes patients to an increased risk for stroke. Assessment of risk for stroke is a significant and independent risk factor for stroke. Approximately 15% of all patients experiencing a stroke also have been diagnosed with atrial fibrillation.

35 % of patients with atrial fibrillation will have a stroke if untreated. These combined statistics suggest that the incidence of a stroke is five times more likely in patients with atrial fibrillation. (National Stroke Association).

By using a CHADS 2 scale, patients can be assessed for the risk for stroke, particularly in patients with atrial fibrillation, provides a consistent rubric for assessing the patient’s need for monitoring, anticoagulation and follow-up.



What is VTE?

To help you understand more about VTEs (which are basically blood clots), and feel more comfortable about your health, we invite you to view this brief Emmi® program. Emmi programs support you in managing your care and will answer many of the questions you may have. You can watch it as many times as you like and share it with your family and friends.

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Document:  Patient VTE Video
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Guideline Clinical App

The ACC's new Guideline Clinical App is the mobile home of clinical guideline content and tools for clinicians caring for patients with cardiovascular disease. You can access guideline recommendations, “10 Points” summaries, and tools such as risk scores, calculators and algorithms. Customize your App by using the bookmark, note-taking, and shareable PDF features.  

The App is available for free in the iTunes (iPhone, iPad) and Google Play (Galaxy, Nexus, other Android devices) app stores. Google Play at https://play.google.com/store/apps/details?id=com.bbi.accorg.cardiosource.american_college_of_cardiology&hl=en 

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Link:  https://itunes.apple.com/us/app/acc-guideline-clinical-app/id931723742?mt=8
Audience(s):
Clinicians
Educators

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

My AFib Experience

This is a great patient resource which will help you learn more about AFib and set individual wellness goals.

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Link:  http://myafibexperience.org/home
Audience(s):
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Guideline Tool Electronic Version

Changes and modifications of importance for the primary care and cardiology settings.  This is an interactive version.

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Link:  http://ipmaanticoagmgmtwww.web3.engagewebsites.com/media/67155/8533guidelinetoolelectronic-2.pdf
Audience(s):
Clinicians
Educators

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Guideline Tool Print Version

Changes and modifications of importance for the primary care and cardiology settings.  This is a print version.

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Link:  http://ipmaanticoagmgmtwww.web3.engagewebsites.com/media/67158/8533guidelinetoolprint.pdf
Audience(s):
Clinicians
Educators

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Clinical Practice Guidelines

References with links to full texts of ACC, ACCP, AHA, ESC, HRS, and other guidelines on anticoagulation in patients with atrial fibrillation (TEAM-A tool 108)

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Document:  108-Clinical Practice Guidelines.pdf
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Guidelines: Management of Patients with Atrial Fibrillation-2014

American Heart Association/American College of Cardiology/Heart Rhythm Society guideline (2014; tool 118)

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Link:  http://content.onlinejacc.org/article.aspx?articleid=1854231
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Anticoagulation Decision Support Worksheet

Assessment of stroke risk and bleed risk, for patients with atrial fibrillation (American College of Physicians Foundation; tool 210)

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Link:  http://www.acpfoundation.org/afib/briefing/afib-worksheet.pdf
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

SPARC - Stroke Prevention in Atrial Fibrillation Risk Calculator

Estimating risk of stroke, and benefits and risks of antithrombotic therapy in patients with atrial fibrillation (P. Loewen; tool 213)

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Link:  http://sparctool.com/
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Stroke Risk Assessment

Medical Calculator for CHA2DS2-VASc

Calculates stroke risk for patients with atrial fibrillation (MDCalc; tool 224)

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Link:  http://www.mdcalc.com/cha2ds2-vasc-score-for-atrial-fibrillation-stroke-risk/
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Stroke Risk Assessment

Afib Toolkit

Online resource created by Science and Quality Division of the American College of Cardiology (tool 233)

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Link:  http://cardiosource.org/afibtools?w_nav=Blog
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

CHA2DS2VASc for Assessing Stroke Risk in Patients With Atrial Fibrillation

Explains CHA2DS2VASc in relation to CHADS2 and provides examples of assessing stroke risk  (TEAM-A tool 240)

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Document:  240-CHA2DS2VASc for Assessing Stroke Risk in Patients With Atrial Fibrillation.pdf
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Stroke Risk Assessment

Anticoag Evaluator App - Android

Application to help clinicians assess stroke and bleeding risk and compare antithrombotic therapy options (American College of Cardiology, adapted from a web-based SPARC tool; tool 247)

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Link:  https://play.google.com/store/search?q=anticoagevaluator&c=apps
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Stroke Risk Assessment

Anticoag Evaluator App - iPhone/iPad

Application to help clinicians assess stroke and bleeding risk and compare antithrombotic therapy options (American College of Cardiology, adapted from a web-based SPARC resource; tool 248)

more...

Link:  https://itunes.apple.com/us/app/anticoagevaluator/id609795286?mt=8
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Stroke Risk Assessment

About Atrial Fibrillation

American Heart Association, information for patients (tool 318)

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Link:  http://www.heart.org/HEARTORG/Conditions/Arrhythmia/TypesofArrhythmias/Fibrillation_UCM_302027_Article.jsp
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Stroke Risk Assessment

Is Anticoagulation Right for You

Decision support and patient education tool addressing risk of stroke and bleeding, apixaban, aspirin, clopidogrel, dabigatran, edoxaban, rivaroxaban, and warfarin (TEAM-A tool 326)

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Document:  326- Is Anticoagulation Right for You 12.03.2013.pdf
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

CHADS2, CHA2DS2-VASc and HAS-BLED Handout

Calculators for stroke risk for patients with atrial fibrillation and bleeding risk for patients on anticoagulation (TEAM-A tool 413)

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Document:  413-CHADS2, CHA2DS2-VASc and HAS-BLED Handout.pdf
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Stroke Risk Assessment

Slide Deck

Slides on anticoagulation in patients with atrial fibrillation (TEAM-A tool 414) last updated June 2015.  Slides do not have speaker notes.

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Document:  414 Slide Deck
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Performance Measures for Anticoagulation in Patients with Atrial Fibrillation

Clinical performance measures for anticoagulation in patients with atrial fibrillation or flutter in primary care settings (TEAM-A tool 415)

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Document:  415-Performance Measures for Anticoagulation in Patients with Atrial Fibrillation.pdf
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Stroke Risk Assessment

Slide Deck (pdf)

PDF of slides on anticoagulation in patients with atrial fibrillation (TEAM-A tool 414) last updated June 2015.  Includes speaker notes.

more...

Document:  PDF Slide deck
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment