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Add transparent points for factors commonly discussed in ischemic stroke prevention: age, sex, atrial fibrillation, prior TIA or stroke, smoking, diabetes, systolic blood pressure, total cholesterol, HDL, and early family history of stroke. This is an educational index—not CHA2DS2-VASc, not a calibrated 10-year stroke percentage, and not for acute neurologic symptoms. For emergencies, use BEFAST and call emergency services.
Last updated: April 20, 2026
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Moderate stroke risk-factor burden (educational)
8
Total points (HDL can subtract)
Age
5
Sex
1
AF
0
Prior
0
Smoke
0
DM
0
SBP
1
TC
1
HDL
0
FH
0
Multiple vascular risk factors add up on this questionnaire. Many people in this range benefit from blood pressure monitoring, lipid and glucose testing, smoking cessation support, and discussion of atrial fibrillation screening symptoms (palpitations, irregular pulse).
BEFAST stroke symptoms need 911 / emergency care: Balance, Eyes, Face droop, Arm weakness, Speech trouble, Time to call. This calculator is not for acute symptoms and is not CHA2DS2-VASc (used for anticoagulation in atrial fibrillation under specific rules).
Atrial fibrillation and prior cerebrovascular events receive larger point weights because they change prevention priorities in clinical education.
Uses categorical systolic pressure, total cholesterol, HDL (with a small protective subtraction when HDL is high), plus smoking and diabetes.
Age and sex adjust the score; premature stroke in a first-degree relative adds a family-history point using a simple age cutoff.
On this page: total points under 8 → lower burden; 8–15 → moderate; 16 or more → higher burden. These cutoffs are for learning only—not guideline thresholds.
Points are summed from each domain. Prior TIA or stroke and atrial fibrillation add the largest weights on this educational scale because secondary prevention and anticoagulation decisions are central to stroke care when those conditions apply. HDL in the highest band subtracts one point, similar to the heart risk tool, to reflect a commonly discussed lipid pattern.
CHA2DS2-VASc assigns specific integer points for age, sex, heart failure, hypertension, diabetes, stroke/TIA history, and vascular disease, and is used with bleeding-risk scores to discuss anticoagulation in atrial fibrillation. This calculator does not reproduce that exact schema or its treatment thresholds.
If you have atrial fibrillation, also see our CHA2DS2-VASc teaching calculator and compare with your clinician's formal risk and bleeding assessment.
Get a Custom Calculator for Your PlatformAge 55–64 (5), male (1), no AFib (0), no prior TIA/stroke (0), not smoking (0), no diabetes (0), systolic 130–139 (1), total cholesterol 200–239 (1), HDL 40–59 (0), no family stroke before 65 (0). Total = 8 → moderate on this educational scale—worth discussing blood pressure, lipids, activity, and pulse symptoms with a clinician, not a diagnosis.
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