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1、New Bleeding Score, HAS-BLED, Will Help Guide Anticoagulation in AF(2011-01-0623:45:06)January5,2011(Birmingham,UnitedKingdom)—Anovelscoreforpredictingbleedingriskinpatientswithatrialfibrillation(AF),calledHAS-BLED,performedbetterthananyothercontemporaryscoreinalargecohortofantic
2、oagulatedpatients;thescorecouldbecomeanimportantnewclinicaltool,sayresearchers[1].ThisisthesecondvalidationofHAS-BLED;itwasderivedfromandfirstvalidatedinaEuropeanAFpopulationlastyear[2].HAS-BLEDispragmatic;it'saneasyassessmentandhelpsdoctorstomakeaninformeddecisionratherthanguess
3、ing."HAS-BLEDispragmatic;it'saneasyassessmentandhelpsdoctorstomakeaninformeddecisionratherthanguessing.It'stheretotellyou,ifthebleedingscoreishighenough,thatmorecautionormoreregularreviewofyourpatientisneeded,"theleadauthorofthenewpaper,DrGregoryYHLip(UniversityofBirmingham,UK),t
4、oldheartwire.LippointsoutthatuseofHAS-BLEDisrecommendedinthenewEuropeanSocietyofCardiology(ESC)guidelinesonAFaswellinthelatestguidanceonAFfromtheCanadianCardiovascularSociety.InaneditorialaccompanyingLipetal'spaper[3],DrStefanHHohnloser(JWGoetheUniversity,Frankfurt,Germany)saysth
5、atHAS-BLEDisan"importantstep"and"mayindeedprovetobeanimportantclinicaltooltoassessbleedingriskinAFpatients."However,hecautionsthatitremainstobeseenhowitwillperformindailyroutinepracticeandwhethersuchableedingscore--developedfromdataonpatientsreceivingwarfarinandothervitamin-Kanta
6、gonists--canalsobeappliedduringuseoftheneweranticoagulants,whichmayhavelesserbleedingrisks.ASimpleToolThatWillBeInvaluabletoCardiologistsLipsaysthatoptimumselectionofpatientswithAFforanticoagulationtherapydependsnotonlyonassessmentoftheirriskofstrokebutalsoonidentificationofthose
7、atincreasedriskofdevelopingbleedingcomplications.Hohnloseragrees,notingthatcurrentlyanticoagulationtherapyinAFis"underused,suboptimallyapplied,andofteninappropriatelydiscontinued...drivenforagoodpartbytheperceivedbleedingriskassociated"withwarfarintherapy.TheHAS-BLEDscoreissimple
8、toremember,saysLip,andcouldbecomeinvalua
