Journal of Nursing Theory and Practice

[Role of Atrial Fibrillation in Stroke Prevalence: Implementation of CHA2DS2 – Vasc Risk Stratifi­cation Scale]

PAPP László1, VIDA Nóra2, BENGŐ Szilvia2, KIS Tamás 3, GAÁL Gabriella3, PETŐ Zsófia4

AUGUST 30, 2020

Journal of Nursing Theory and Practice - 2020;33(4)

[Introduction: Stroke is one of the leading causes of death and disability, therefore is an important public health concern. 20% of ischaemic cerebrovascular diseases are casued by cardiac-related embolism, wiith non-valvular atrial fibrillation (AF) as a major cause, and results in approximately 3-5-fold risk improvement. The aim of this study is to introduce the CHADS2-VASc scoring system, as an important tool in the estimation of stroke risk in AF patients. Recognition of AF and initiation of adequate therapy is a crucial step in the prevention of serious complications. The best-known indexes for AF’s vascular effects are HAS-BLED and CHADS2-VASc. According to European Society of Cardiology, CHADS2-VASc is recommended to use in every AF case with stroke risk, when direct anticoagulant therapy could be implemented. A nurse can work on stroke risk reduction among AF patients in various levels and competences. Primary prevention and health promotion is a responsibility for every health care worker, but at the same time, Advenced Practice Nurse could have a role either in diagnostics or initiating proper therapy.]

AFFILIATIONS

  1. Szegedi Tudományegyetem, Szent-Györ­gyi Albert Klinikai Központ, Sürgősségi Betegellátó Osztály, Szeged
  2. Szegedi Tudományegyetem, Szent-Györgyi Albert Klinikai Központ, Neurológiai Klinika, Szeged
  3. Szegedi Tudományegyetem, Szent-Györgyi Albert Klinikai Központ, Sürgősségi Betegellátó Osztály, Szeged
  4. Szegedi Tudományegyetem, Általános Orvostudományi Kar

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