Arrhythmias & electrophysiologyCohort study

Timing of stroke risk reassessment in atrial fibrillation patients with a CHA2DS2-VA score of 0 or 1: the Norwegian AFNOR study

EuropacePublished

  • Retrospective cohort study
  • Norwegian national registries

Authors' conclusion

New risk factors emerged in half of AF patients within 1.7 years.

Study context

Population
Adults ≥18 years with incident atrial fibrillation (AF) and a low (0) or intermediate (1) CHA2DS2-VA score, Norway 2011–18
Participants
40,782 adults
Exposure
18-44 years vs 45-54 years vs >55 years
Outcome
Increase in the CHA2DS2-VA score after AF diagnosis

Main finding

As reported in the abstract

Proportion with increased CHA2DS2-VA score

Increased score at 6 months

19%

Increased score at 1 year

25%

Increased score at 3 years

40%

Observational data: associations, not effects.

Further findings

New risk factor and number needed to reassess, by age group · 1 year

Number needed to reassess 18-44 years 12 · 45-54 years 7 · >55 years 3

Original publication

Timing of stroke risk reassessment in atrial fibrillation patients with a CHA2DS2-VA score of 0 or 1: the Norwegian AFNOR study. Europace. Published 24 July 2025. doi:10.1093/europace/euaf145

Summarised from the published abstract; every number is checked against it