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For 7,900 females with AF and a CHA-VASc score of 2, 14.9% experienced ischemic stroke for an annual stroke rate of 2.55%.

Ischemic stroke risk increased from 1.91%/year for women with hypertension to 3.34%/year for those 65 to 74 years of age.-VASc score carry an equal risk, with age 65 to 74 years associated with the highest stroke rate.

In 2010, the CHA-VASc (congestive heart failure, hypertension, age 75 years or older, diabetes mellitus, previous stroke or transient ischemic attack, vascular disease, age 65 to 74 years, female) score was first proposed to calculate stroke risk for patients with AF (2).

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-VASc (congestive heart failure, hypertension, age 75 years or older, diabetes mellitus, previous stroke or transient ischemic attack, vascular disease, age 65 to 74 years, female) score is recommended by both American and European guidelines for stroke risk stratification in atrial fibrillation (AF), the treatment recommendations for a CHA-VASc score of 1, 1,858 patients (14.4%) experienced ischemic stroke during follow-up (5.2 ± 4.3 years), with an annual stroke rate of 2.75%.

Ischemic stroke risk ranged from 1.96%/year for men with vascular disease to 3.50%/year for those 65 to 74 years of age.

In 2012, the European Society of Cardiology (ESC) guidelines recommended using the CHA-VASc score for stroke risk stratification in AF (10), followed by the Asia Pacific Heart Rhythm Society, and in 2014 by the American College of Cardiology/American Heart Association (ACC/AHA) AF guidelines as well as the National Institute for Health and Care Excellence guidelines (11–13).

Nonetheless, the treatment recommendations are not identical in these different guidelines.

This conceptualisation suggests a somewhat causal relationship between the duration of the sexually abusive behaviour; the severity of the behaviour and the length of treatment required to manage and treat the issue.

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