Essen Stroke Risk Score (Recurrent Vascular Events)
Essen Stroke Risk Score (Diener 2005): age plus hypertension, diabetes, prior MI, other cardiovascular disease, peripheral arterial disease, smoking, and prior stroke/TIA give a 0–9 risk of recurrent stroke.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Age
- 78 years
- Hypertension
- Yes
- Diabetes
- Yes
- Peripheral arterial disease
- Yes
- Current smoker
- Yes
Result: Essen 6/9 — high risk of recurrent stroke (≥ 3; annual recurrence > 4%).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Risk
- Low risk < 3, high risk ≥ 3 (annual recurrent-stroke risk > 4% at ≥ 3). A stratifier for secondary-prevention intensity, not a treatment order.
What you enter
- Age
- Hypertension (+1)
- Diabetes (+1)
- Prior myocardial infarction (+1)
- Other cardiovascular disease (+1)
- Peripheral arterial disease (+1)
- Current smoker (+1)
- Prior stroke / TIA (+1)
How this is calculated
- Items
- Age < 65 → 0, 65–75 → 1, > 75 → 2; plus +1 each for hypertension, diabetes, prior MI, other CVD (except MI/AF), PAD, current/ever smoking, and an additional prior TIA/stroke. Total 0–9.
Weimar C, Diener HC, Alberts MJ, et al. The Essen stroke risk score predicts recurrent cardiovascular events: a validation within the REACH Registry. Stroke. 2009;40(2):350-354. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.