Âge
<65 ans
65-74 ans
>74 ans
Sexe
Homme
Femme
ATCD d'insuffisance cardiaque
Non
Oui
Hypertension artérielle
Non
Oui
ATCD d'AVC/AIT ou maladie thrombo-embolique
Non
Oui
ATCD de maladie vasculaire
Non
Oui
Diabète
Non
Oui
Insuffisance rénale (créatinine >200 µmol/L)
Non
Oui
Ccirrhose ou bilirubine 2*N + ASAT/ALAT/PAL 3*N
Non
Oui
ATCD d'hémorragie
Non
Oui
INR labile
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> Non
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> Oui
Traitements prédisposants aux saignements
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> Non
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> Oui
Consommation excessive d'alcool
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> Oui
Etudes références:
CHA2DS2-VASC:
Lip, G. Y., Nieuwlaat, R., Pisters, R., Lane, D. A., & Crijns, H. J. (2010). Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation. Chest, 137(2), 263-272.
Friberg, L., Rosenqvist, M., & Lip, G. Y. (2012). Evaluation of risk stratification schemes for ischaemic stroke and bleeding in 182 678 patients with atrial fibrillation: the Swedish Atrial Fibrillation cohort study. European heart journal, 33(12), 1500-1510.
HAS-BLED:
Pisters, R., Lane, D. A., Nieuwlaat, R., De Vos, C. B., Crijns, H. J., & Lip, G. Y. (2010). A novel user-friendly score (HAS-BLED) to assess 1-year risk of major bleeding in patients with atrial fibrillation: the Euro Heart Survey. Chest, 138(5), 1093-1100.
Lip, G. Y., Frison, L., Halperin, J. L., & Lane, D. A. (2011). Comparative validation of a novel risk score for predicting bleeding risk in anticoagulated patients with atrial fibrillation: the HAS-BLED score. Journal of the American College of Cardiology, 57(2), 173-180.