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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,performedbetterthananyothercontemporaryscoreinala
2、rgecohortofanticoagulatedpatients;thescorecouldbecomeanimportantnewclinicaltool,sayresearchers[1].ThisisthesecondvalidationofHAS-BLED;itwasderivedfromandfirstvalidatedinaEuropeanAFpopulationlastyear[2].HAS-BLEDispragmatic;it'saneasyassessmentandhelpsdoctorstomakea
3、ninformeddecisionratherthanguessing."HAS-BLEDispragmatic;it'saneasyassessmentandhelpsdoctorstomakeaninformeddecisionratherthanguessing.It'stheretotellyou,ifthebleedingscoreishighenough,thatmorecautionormoreregularreviewofyourpatientisneeded,"theleadauthorofthenewp
4、aper,DrGregoryYHLip(UniversityofBirmingham,UK),toldheartwire.LippointsoutthatuseofHAS-BLEDisrecommendedinthenewEuropeanSocietyofCardiology(ESC)guidelinesonAFaswellinthelatestguidanceonAFfromtheCanadianCardiovascularSociety.InaneditorialaccompanyingLipetal'spaper[3
5、],DrStefanHHohnloser(JWGoetheUniversity,Frankfurt,Germany)saysthatHAS-BLEDisan"importantstep"and"mayindeedprovetobeanimportantclinicaltooltoassessbleedingriskinAFpatients."However,hecautionsthatitremainstobeseenhowitwillperformindailyroutinepracticeandwhethersucha
6、bleedingscore--developedfromdataonpatientsreceivingwarfarinandothervitamin-Kantagonists--canalsobeappliedduringuseoftheneweranticoagulants,whichmayhavelesserbleedingrisks.ASimpleToolThatWillBeInvaluabletoCardiologistsLipsaysthatoptimumselectionofpatientswithAFfora
7、nticoagulationtherapydependsnotonlyonassessmentoftheirriskofstrokebutalsoonidentificationofthoseatincreasedriskofdevelopingbleedingcomplications.Hohnloseragrees,notingthatcurrentlyanticoagulationtherapyinAFis"underused,suboptimallyapplied,andofteninappropriatelydi
8、scontinued...drivenforagoodpartbytheperceivedbleedingriskassociated"withwarfarintherapy.TheHAS-BLEDscoreissimpletoremember,saysLip,andcouldbecomeinvalua
