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Home BLOG URGENCIAS Escala CHA2DS2-VASc: Añadida en documento de revisión de criterios de ACO en la FA
Escala CHA2DS2-VASc: Añadida en documento de revisión de criterios de ACO en la FA PDF Imprimir Correo electrónico
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Escrito por Dra. Cristina Gisbert Garzón   
Viernes 22 de Octubre de 2010 14:03

Para simplificar la identificación de los factores de riesgo, en la guía, proponen incluir los factores de riesgo no mayores en la escala CHADS2, con lo que la nueva escala, en la que se basan los criterios de anticoagulación sería la siguiente: CHA2DS2-VASc, donde:

C: Insuficiencia cardíaca o disfunción VI    1 punto

H: HTA                                                  1 punto

A: Edad≥75a                                         2 puntos

D: DM                                                   1 punto

S: Ictus, AIT o tromboembolismo             2 puntos

V: vasculopatía (IMA, arteriosclerosia aórtica o arteriopatía periférica)  1 punto

A: Edad 65-74 años                               1 punto

Sc: Sexo Mujer                                      1 punto

 

RECOMENDACIONES ACTUALES DE ANTICOAGULACIÓN:

- Anticoagulación:

CHA2DS2-VASC > o = 2

1 Factor de riesgo mayor

2 o + factores de riesgo clinicamente relevantes no mayores

- AAS o anticoagulación (preferible anticoagulación):

CHA2DS2-VASc = 1

1 factor de riesgo clinicamente relevante no mayor

- Nada o AAS (preferible nada):

CHA2DS2-VASc=0

Ningún factor de riesgo

 

Podéis consultar el documento de revisión modificado en este enlace: Revisión Criterios de Anticoagulación el la FA según la Guía de la ESC 2010

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Última actualización el Martes 16 de Noviembre de 2010 21:50
 

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