Calculators · Cardiology · Score

CHA₂DS₂-VA score (ESC 2024)

Also called CHA2DS2-VA, sex-neutral CHA2DS2-VASc, ESC 2024 AF stroke score

Sex-neutral stroke risk score for atrial fibrillation adopted by the 2024 ESC AF guideline.

Age

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Formula and scoring

C 1, H 1, A₂ (≥75) 2, D 1, S₂ 2, V 1, A (65–74) 1. Maximum 8. No sex category.

Exam and ward pearls

  • ESC 2024 dropped female sex because it is an age-dependent modifier and complicated practice; the same thresholds now apply to everyone.

When not to rely on it

  • Thresholds are pending trials in lower-risk patients (ESC 2024).

Source

  1. Van Gelder IC, Rienstra M, Bunting KV, et al. 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J. 2024;45(36):3314-3414. doi:10.1093/eurheartj/ehae176 · PMID 39210723

Formula and cut-offs checked against these sources on 8 Nov 2026. Educational tool for clinicians; it does not replace clinical judgement.

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