Atrial fibrillation (AF) leads to impaired left atrial appendage contractility, increasing the risk of thromboembolic stroke. The left atrial appendage emptying velocity (LAAev) measured on transesophageal echocardiogram (TEE) is a marker of increased thromboembolic risk. To evaluate predictors of reduced LAAev for identifying individuals at increased risk of cardiogenic stroke. This was a single-center retrospective review of TEEs and clinical charts. Predictors of LAAev <30 cm/s were identified using logistic regression. A risk prediction model was created using stepwise selection in a derivation set (n=695) and separately tested in a validated set (n=300). We included TEEs on 995 patients (age 71.3±12.7 years, female 38.1%, history of AF 82.1%, in AF at evaluation 27.7%, CHA2DS2-VASc score 4.1±1.9, LAAev 41.6±21.0 cm/s). Significant multivariable predictors of LAAev <30 cm/s in derivation set were used to create the CHIRP3M-1 score containing 8 variables: Coronary artery disease (1), congestive Heart failure (1), Increased left atrial volume index ≥42 mL/m2 (1), current Rhythm AF (1), Paroxysmal AF (2), Persistent AF (3), long standing Persistent/permanent AF (4), and >moderate Mitral regurgitation (-1). In the validation set, as compared to intermediate scores (3-4), those with a low scores (≤2) and high scores (≥5) had odds ratios for LAAev <30 cm/s of 0.41 (0.21, 0.78, p=0.007) and 2.58 (95% CI 1.45, 4.61, p=0.001) respectively. We developed and validated a novel risk stratification system to predict reduced LAAev using clinical and echocardiographic variables. This may help refine the stratification of cardiogenic stroke risk.