An early meta‐analysis of five studies in 1994 also showed a trend, although not significant, towards higher stroke risk in AF patients with heart failure. 3 The inclusion of points for heart failure in CHA 2 DS 2 ‐VASc was inherited from the older CHADS 2 scheme where it was helpful in predicting stroke risk. 4 In the more inclusive CHA 2 DS 2 ‐VASc score, hear
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