ArticleEuropean heart journal. Cardiovascular pharmacotherapy2025
Stroke risk stratifications according to CHA2DS2-VASc vs. CHA2DS2-VA in patients with atrial fibrillation: insights from the GLORIA-AF registry.
Article in European heart journal. Cardiovascular pharmacotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Integrating left atrial appendage morphology and lipoprotein(a) improves thrombus risk stratification in atrial fibrillation: a retrospective cohort study.International journal of cardiology. Heart & vasculature · 2026Article
- Cardio-Kidney-Metabolic Phenotypes and Adverse Clinical Outcomes in Patients With Atrial Fibrillation.JACC. Asia · 2026Article
- Characterisation and Enhanced Residual Risk Stratification of Long-Term Post-Discharge Ischaemic Events After Atrial Fibrillation Catheter Ablation.TH open : companion journal to thrombosis and haemostasis · 2026Article
- CHAFrontiers in cardiovascular medicine · 2026Article
- The triglyceride-glucose index, a marker of insulin resistance, as a predictor of thrombotic risk in atrial fibrillation.Cardiovascular diabetology · 2025Observational
- Stroke Risk Stratification in Incident Atrial Fibrillation: A Sex-Specific Evaluation of CHA2DS2-VA and CHA2DS2-VASc.Journal of cardiovascular development and disease · 2025Article
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8 authors.
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Abstract
aimsWhether the adoption of CHA2DS2-VA score, the sex-independent version of the CHA2DS2-VASc score is beneficial for stratifying risk of stroke in patients with atrial fibrillation (AF) remains controversial. METHODS AND
resultsUtilizing the data from the global, multicentre and prospective GLORIA-AF Registry Phase III, we compared the performances of CHA2DS2-VA and CHA2DS2-VASc scores in stratifying the risk of ischaemic stroke and thromboembolism (TE), and compared the risk of ischaemic stroke and TE, and the use of oral anticoagulants in male and female patients with AF. A total of 21 260 AF patients with available data were included in the analysis (mean age 70.2 ± 10.3 years, 44.9% female). Overall, female patients were less likely prescribed with oral anticoagulant (OAC) compared with males [odds ratio: 0.90, 95%confidence interval [CI]: (0.83-0.97)]. A significant interaction (P < 0.001) between sex and age was observed, with a lower likelihood of receiving OAC among younger female patients.The risk of ischaemic stroke [hazard ratio (HR):1.14, 95%CI: (0.85-1.53)] and TE [HR: 1.02, 95%CI: (0.82-1.26)] was similar between male and female patients, and the predictive ability of the two scores was similar for both outcomes: TE [area under the receiver operating characteristic curve (AUC): 0.641, 95%CI: (0.585-0.697) vs. AUC: 0.636, 95%CI: (0.580-0.692); P = 0.593] and ischaemic stroke [AUC: 0.660, (95%CI: 0.582-0.739) vs. AUC: 0.646, (95%CI: 0.568-0.725); P = 0.847]. There was a possible interaction between sex and age observed, with a higher risk of TE in younger female patients (P = 0.051).
conclusionCHA2DS2-VA score had similar predictive performance for thromboembolic events compared with CHA2DS2-VASc score. The role of female sex in the management and outcomes of patients with AF may differ according to age. Whether the omission of the female criterion from CHA2DS2-VA would lead to less OAC use in female AF patients over the next years remains to be seen.
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