The hemorrhagic risk: how to evaluate it

Pacing Clin Electrophysiol. 2013 Oct;36(10):1191-7. doi: 10.1111/pace.12146. Epub 2013 May 10.

Abstract

This issue addresses the evaluation of hemorrhagic risk during antithrombotic treatment in atrial fibrillation patients. It illustrates the relevance of bleeding complications in the management of anticoagulation therapy and demonstrates the size of the problem among patients taking old and novel oral anticoagulant drugs. A survey of the main factors affecting the bleeding risk with pertinent supporting evidence is performed. Finally the paper discusses how to estimate the individual bleeding risk focusing on the HAS-BLED score, whose use is recommended by international guidelines.

Keywords: atrial fibrillation; bleeding risk; oral anticoagulation.

Publication types

  • Introductory Journal Article

MeSH terms

  • Atrial Fibrillation / complications*
  • Atrial Fibrillation / drug therapy*
  • Fibrinolytic Agents / adverse effects*
  • Fibrinolytic Agents / therapeutic use*
  • Hemorrhage / chemically induced*
  • Hemorrhage / prevention & control*
  • Humans
  • Risk Assessment
  • Thromboembolism / complications
  • Thromboembolism / prevention & control*

Substances

  • Fibrinolytic Agents