Section Summary

Lesson Summary

Modifiable stroke risk factors include a history of chronic hypertension, TIA, atrial fibrillation, smoking, obesity, and diabetes.

Several online stroke risk calculators are available to determine the risk of a first stroke and can be helpful for optimal patient management.

The ABCD or ABCD2 score can predict the 7-day risk of stroke in patients with a prior TIA.

Assessment of stroke risk using these risk calculators is not perfect. For example, they can over- or under-estimate stroke risk. Therefore, the values should be interpreted with caution.

Useful Resources

Stroke Risk Calculators

The online stroke and bleeding risk calculator is available here with downloadable risk score result: https://www.cardiosmart.org/stroke-and-bleeding-risk-calculator

American College of Emergency Physicians CHA2DS2-VASc Calculator:

https://www.acep.org/by-medical-focus/cardiovascular/strokecalculator/

Framingham Risk Score for Hard Coronary Heart Disease: https://www.mdcalc.com/framingham-risk-score-hard-coronary-heart-disease

Reynolds Risk Score calculator: http://www.reynoldsriskscore.org/

ClinCalc ASCVD Risk Calculator: https://clincalc.com/Cardiology/ASCVD/PooledCohort.aspx

ClinRisk QStroke® risk calculator: https://qstroke.org/