AF-STROKE

AF-STROKE

AF-STROKE is a simple application to assess patients with atrial fibrillation (AF) against stroke risk factors and to help choose appropriate antithrombotic therapy for stroke prevention. It calculates at once CHADS2, CHA2DS2-VASc, and HAS-BLED scores and creatinine clearance according to the Cockcroft-Gault equation. Based on the score results, the latest ESC and AHA/ASA advice on antithrombotic therapy is given. It is known to be crucial to check creatinine clearance before prescribing novel oral anticoagulants to avoid serious complications. The application warns you about the contraindication or necessity for a dose reduction, if creatinine clearance is abnormal. Finally, the latest ESC, ESO, AHA/ASA, NICE, and Canadian Cardiovascular Society guidelines are available for reviewing.

The main features of the application are:
-Getting the results with minimal screen touches
-Guidelines of the leading world scientific societies
-Small application size
-Supporting devices with different screen size and orientation, including tablets
-English and Russian languages
-Manual language switching
-E-mailing a detailed test report
-No advertisement and banners
-Minimum price
-No odds!
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Example of detailed test report:

Patient's ID: Smith J.
Age: 67 yrs
Gender: Male
Date & Time: 18/01/2013 15:33
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Test: CHADS2

ANSWERS:
Congestive heart failure: No
Hypertension: Yes
Age: 67 yrs
Diabetes mellitus: No
Prior stroke, TIA or systemic embolism: Yes

RESULTS:
Points: 3
High Stroke Risk, 5.9% per year

AHA/ASA ADVICE:
Oral anticoagulant
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Test: CHA2DS2-VASc

ANSWERS:
Congestive heart failure: No
Hypertension: Yes
Age: 67 yrs
Diabetes mellitus: No
Prior stroke, TIA or systemic embolism: Yes
Vascular disease: No
Gender: Male

RESULTS:
Points: 4
High Stroke Risk, 4.0% per year

ESC ADVICE:
Oral anticoagulant
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Test: HAS-BLED

ANSWERS:
Uncontrolled Hypertension: No
Abnormal renal function: No
Abnormal liver function: Yes
Prior stroke: Yes
Bleeding: Yes
Labile INR: Yes
Age: 67 yrs
Drugs predisposing to bleeding: Yes
Alcohol abuse: Yes

RESULTS:
Points: 8
High Major Bleeding Risk

ADVICE:
Address risk factors, control bleeding strictly, and adjust anticoagulant dose
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Test: Creatinine Clearance (Cockcroft-Gault equation)

DATA:
Age: 67 yrs
Body weight: 90 kg (198.4 lbs)
Gender: Male
Serum creatinine: 256.0 mmol/L (2.896 mg/dL)

RESULT:
Creatinine clearance: 32 mL/min

ADVICE:
Dose reduction of the novel oral anticoagulant should be considered
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Your feedback is very welcome. Please, use the feedback form in your application or e-mail it to cardioneurologyteam@gmail.com with “Android-AF-STROKE" in the subject line.

Keywords: CHADS2 score, CHA2DS2-VASc score, HAS-BLED score, stroke, atrial fibrillation, neurology, cardiology, transient ischemic attack, risk assessment, diagnosis, medical calculator, AHA, ASA, ESC, ESO, NICE