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HAS-BLED is a scoring system developed to assess 1-year risk of major bleeding in people taking anticoagulants for atrial fibrillation (AF). It was developed in 2010 with data from 3,978 people in the Euro Heart Survey. [1] Major bleeding is defined as being intracranial bleedings, hospitalization, hemoglobin decrease > 2 g/dL, and/or transfusion.
The European Society of Cardiology (ESC), [21] and National Institute for Health and Care Excellence (NICE) [23] guidelines recommend that if the patient has a CHA 2 DS 2-VASc score of 2 and above, oral anticoagulation therapy (OAC) with a vitamin K antagonist (VKA, e.g. warfarin with target INR of 2-3) or one of the direct oral anticoagulant ...
Atrial fibrillation is associated with an increased risk of heart failure, dementia, and stroke. [3] [12] It is a type of supraventricular tachycardia. [14] Atrial fibrillation frequently results from bursts of tachycardia that originate in muscle bundles extending from the atrium to the pulmonary veins. [15]
The European Society of Cardiology (ESC) suggests using electrophysiology studies to look into it (EPS). When pharmacologic stress or incremental atrial pacing induces high-degree atrioventricular block , a permanent pacemaker (PPM) is recommended.
Günter Breithardt, 2009. Günter Breithardt (born 19 January 1944 in Haan/Rhineland) is a German physician, cardiologist and emeritus university professor. [1] He is known for his research in the field of rhythmology, especially the diagnosis and pharmacological and non-pharmacological therapy of cardiac arrhythmias and acute cardiac death, in particular the identification of arrhythmia ...
Atrial fibrillation is the most common heart rhythm disorder, affecting 2 to 3% of the population of Europe and North America.It is the cause of 20–25% of ischemic brain strokes.
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