@roba7 my CHADS score is 2 (age over 65 and female) but since I have no other factors like hypertension, diabetes, overweight, alcohol etc. my electrophysiologist does not think I need anticoagulation. I always feel my afib and monitoring has shown that to be true. I have episodes roughly one a year. I am really happy this EP gave me Eliquis to take short term after an episode that lasts over 5 hours, which mine rarely do. I have flexibility in how I use it so if an episode were , say, 3 hours I might consider a few days or a week on it. One hospital did an echocardiogram after an episode to check for clots and I was unmedicated.

If monitoring shows more afib than a person is aware of, then the CHADS may be a good indicator of need for meds.