ATRIA Stroke Risk Score

ATRIA Stroke Calculator
Age
Female Sex
Diabetes Mellitus
Congestive Heart Failure
Hypertension
Proteinuria
eGFR < 45 or ESRD
Prior Stroke
Result: 0 points
Determines stroke risk in patients with atrial fibrillation.

Why Use

The ATRIA Stroke Risk score, like the CHA₂DS₂-VASc Score can help objectify stroke risk, and perform better than the more well-known CHADS₂ Score .

When to Use

Patients with atrial fibrillation with potential bleeding risks to help quantify stroke risk. Patients who are apprehensive about anticoagulation to better understand their stroke risk.

Formula

Addition of the selected points; points assigned below:

Advice

Patients should be evaluated for bleeding risk before initiating anticoagulation; risk of bleeding can be estimated using the HAS-BLED Score for Major Bleeding Risk or several other scores.

More Information

Criteria Points without previous Stroke Points with Previous Stroke Age (Years) ≥85 +6 +9 75 to 84 +5 +7 65 to 74 +3 +7 <65 +0 +8 Sex Female +1 +1 Male 0 0 Comorbidities Diabetes +1 +1 CHF +1 +1 Hypertension +1 +1 Proteinuria +1 +1 eGFR <45 or ESRD +1 +1 Scoring Low risk of stroke (<1%): 0-5 points Intermediate risk of stroke (1-<2%): 6 points High risk of stroke (≥2%): >6 points

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