Thromboprophylaxis in atrial fibrillation: correct interpretation and effective use of CHA2DS2-VASc and HAS-BLED scores
Thromboprophylaxis is one of the most important aspects of atrial fibrillation (AF) management as irregular atrial contractions foster formation of blood clots that may result in ischemic stroke. Strokes caused by AF are relatively large and often lead to death or sever disability, but they may be...
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2023-10-01
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| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/46080 |
| _version_ | 1797644313297944576 |
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| author | Mateusz Wawrzeńczyk Maria Kotulska Aleksandra Suchenia Agnieszka Dzido Krzysztof Lachowski |
| author_facet | Mateusz Wawrzeńczyk Maria Kotulska Aleksandra Suchenia Agnieszka Dzido Krzysztof Lachowski |
| author_sort | Mateusz Wawrzeńczyk |
| collection | DOAJ |
| description |
Thromboprophylaxis is one of the most important aspects of atrial fibrillation (AF) management as irregular atrial contractions foster formation of blood clots that may result in ischemic stroke. Strokes caused by AF are relatively large and often lead to death or sever disability, but they may be avoided with appropriate anticoagulation therapy. Unfortunately, the risk factors for stroke overlap with risk factors for bleeding, creating a genuine challenge for clinicians seeking to strike a balance in preventing these two types of complications. This is why risk assessment scores CHA2DS2-VASc and HAS-BLED have been developed. While their role to optimize the anticoagulation therapy was confirmed in multiple studies, the misinterpretation of the criteria within these scores and their inappropriate application can result in suboptimal treatment and needlessly expose patients to the risk of stroke, hemorrhage, or both. This review aims to present appropriate interpretation of CHA2DS2-VASc and HAS-BLED scores and discuss how anticoagulation therapy of AF patients should be guided by those two scores.
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| first_indexed | 2024-03-11T14:29:40Z |
| format | Article |
| id | doaj.art-e739f6aa64704129a4ed1e3c35eb18fb |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-03-11T14:29:40Z |
| publishDate | 2023-10-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-e739f6aa64704129a4ed1e3c35eb18fb2023-10-31T11:50:16ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-10-0148110.12775/JEHS.2023.48.01.005Thromboprophylaxis in atrial fibrillation: correct interpretation and effective use of CHA2DS2-VASc and HAS-BLED scoresMateusz Wawrzeńczyk0Maria Kotulska1Aleksandra Suchenia2Agnieszka Dzido3Krzysztof LachowskiFirst Department of Cardiology, Medical University of Warsaw, Banacha 1A, 02-097 Warszawa, PolandPaństwowy Instytut Medyczny MSWiA w Warszawie, ul. Wołoska 137, 02-507 Warsaw, PolandUniwersytecki Szpital Kliniczny im. Wojskowej Akademii Medycznej – Centralny Szpital Weteranów, ul. Żeromskiego 113, 90-549 Łódź, Poland Miejskie Centrum Medyczne im dr. Karola Jonschera w Łodzi, ul.Milionowa 14, 93-113 Łódź, Poland Thromboprophylaxis is one of the most important aspects of atrial fibrillation (AF) management as irregular atrial contractions foster formation of blood clots that may result in ischemic stroke. Strokes caused by AF are relatively large and often lead to death or sever disability, but they may be avoided with appropriate anticoagulation therapy. Unfortunately, the risk factors for stroke overlap with risk factors for bleeding, creating a genuine challenge for clinicians seeking to strike a balance in preventing these two types of complications. This is why risk assessment scores CHA2DS2-VASc and HAS-BLED have been developed. While their role to optimize the anticoagulation therapy was confirmed in multiple studies, the misinterpretation of the criteria within these scores and their inappropriate application can result in suboptimal treatment and needlessly expose patients to the risk of stroke, hemorrhage, or both. This review aims to present appropriate interpretation of CHA2DS2-VASc and HAS-BLED scores and discuss how anticoagulation therapy of AF patients should be guided by those two scores. https://apcz.umk.pl/JEHS/article/view/46080atrial fibrillationanticoagulationstrokebleeding |
| spellingShingle | Mateusz Wawrzeńczyk Maria Kotulska Aleksandra Suchenia Agnieszka Dzido Krzysztof Lachowski Thromboprophylaxis in atrial fibrillation: correct interpretation and effective use of CHA2DS2-VASc and HAS-BLED scores Journal of Education, Health and Sport atrial fibrillation anticoagulation stroke bleeding |
| title | Thromboprophylaxis in atrial fibrillation: correct interpretation and effective use of CHA2DS2-VASc and HAS-BLED scores |
| title_full | Thromboprophylaxis in atrial fibrillation: correct interpretation and effective use of CHA2DS2-VASc and HAS-BLED scores |
| title_fullStr | Thromboprophylaxis in atrial fibrillation: correct interpretation and effective use of CHA2DS2-VASc and HAS-BLED scores |
| title_full_unstemmed | Thromboprophylaxis in atrial fibrillation: correct interpretation and effective use of CHA2DS2-VASc and HAS-BLED scores |
| title_short | Thromboprophylaxis in atrial fibrillation: correct interpretation and effective use of CHA2DS2-VASc and HAS-BLED scores |
| title_sort | thromboprophylaxis in atrial fibrillation correct interpretation and effective use of cha2ds2 vasc and has bled scores |
| topic | atrial fibrillation anticoagulation stroke bleeding |
| url | https://apcz.umk.pl/JEHS/article/view/46080 |
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