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Biomarker-Enhanced CHA2DS2-VASc Score Personalizes Stroke Prevention in Atrial Fibrillation

Published in the Journal of Thrombosis and Haemostasis on August 6, the online calculator incorporates two blood tests that refine risk to guide anticoagulant therapy

Overview

  • The CHA2DS2-VASc-Biomarkers model integrates NT-proBNP and growth differentiation factor 15 levels with traditional clinical factors to measure stroke risk more accurately.
  • Analysis of 713 anticoagulated patients followed for 12 years and 2,400 non-anticoagulated participants over 13 years identified key biomarkers linked to breakthrough strokes.
  • The enhanced score aims to optimize anticoagulant prescribing by identifying high-risk patients who would benefit most and reducing unnecessary bleeding complications.
  • Atrial fibrillation affects approximately 10.5 million Americans and is a leading cause of stroke.
  • Developed at the University of Vermont with NIH/NINDS funding using data from the national REGARDS cohort, the calculator is freely available online for clinicians.