Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 11/18/2025

Stroke Risk Assessment Tools

Overview of Stroke Risk Assessment

  • The American Heart Association recommends using the Framingham Stroke Profile (FSP) for primary prevention, which calculates 10-year stroke risk using age, systolic blood pressure, diabetes, smoking, cardiovascular disease, atrial fibrillation, and left ventricular hypertrophy 1, 2
  • The FSP helps identify individuals who could benefit from therapeutic interventions beyond single risk factor treatment, with a focus on patients who may be at high risk of stroke 1, 4

Stroke Risk Assessment Scores

  • The CHA2DS2-VASc score is used to assess stroke risk in atrial fibrillation patients, providing a standardized approach to evaluating stroke risk in this population 3
  • The NIH Stroke Scale (NIHSS) is used for acute stroke severity assessment, allowing clinicians to quickly evaluate the severity of a stroke and guide treatment decisions 3