Protocol/Guideline
 
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CHADS2 score :
(Congestive heart failure,
Hypertension,
Age > 75 years,
Diabetes, 1 point each;
prior Stroke or transient ischaemic attack, 2 points).

For patients with valvular atrial fibrillation or a CHADS2 score >2, anticoagulation with warfarin is recommended (INR 2–3, higher for mechanical valves) unless contraindicated or annual major bleeding risk > 3%.
Aspirin or warfarin may be used when the CHADS2 score = 1.

Aspirin is recommended in patients with a CHADS2 score of 0 or if warfarin is contraindicated.
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