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Consideration of OAC prophylaxis is recommended for patients with a score of 1 and OAC use is a definite recommendation for patients with a score of 2 or greater and for those with a history of stroke or transient ischemic attack.

Stroke prevention versus bleeding risk in AF can be addressed if the HAS-BLED (Hypertension, Abnormal renal/liver function, Stroke, Bleeding history or predisposition, Labile INR, Elderly, Drugs/alcohol concomitantly) score is also calculated with the CHA Ali A Mehdirad, MD, FACC Harlene and Marvin Wool Endowed Professor of Cardiology, Professor of Medicine, Director, Electrophysiology Service, St Louis University School of Medicine Ali A Mehdirad, MD, FACC is a member of the following medical societies: American College of Cardiology Disclosure: Nothing to disclose.

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