房颤出血评分系统.docVIP

New?Bleeding?Score,?HAS-BLED,?Will?Help?Guide?Anticoagulation?in?AF (2011-01-06 23:45:06) January 5, 2011 (Birmingham, United Kingdom) —A novel score for predicting bleeding risk in patients with atrial fibrillation (AF), called HAS-BLED, performed better than any other contemporary score in a large cohort of anticoagulated patients; the score could become an important new clinical tool, say researchers [1]. This is the second validation of HAS-BLED; it was derived from and first validated in a European AF population last year [2].HAS-BLED is pragmatic; its an easy assessment and helps doctors to make an informed decision rather than guessing.HAS-BLED is pragmatic; its an easy assessment and helps doctors to make an informed decision rather than guessing. Its there to tell you, if the bleeding score is high enough, that more caution or more regular review of your patient is needed, the lead author of the new paper, Dr Gregory YH Lip (University of Birmingham, UK), told heartwire . Lip points out that use of HAS-BLED is recommended in the new European Society of Cardiology (ESC) guidelines on AF as well in the latest guidance on AF from the Canadian Cardiovascular Society.In an editorial accompanying Lip et als paper [3], Dr Stefan H Hohnloser (JW Goethe University, Frankfurt, Germany) says that HAS-BLED is an important step and may indeed prove to be an important clinical tool to assess bleeding risk in AF patients. However, he cautions that it remains to be seen how it will perform in daily routine practice and whether such a bleeding score--developed from data on patients receiving warfarin and other vitamin-K antagonists--can also be applied during use of the newer anticoagulants, which may have lesser bleeding risks.A Simple Tool That Will Be Invaluable to CardiologistsLip says that optimum selection of patients with AF for anticoagulation therapy depends not only on assessment of their risk of stroke but also on identification of those at increased r