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HAS BLED SCORE ( new to me )

Posted by Poppino 
HAS BLED SCORE ( new to me )
September 06, 2021 06:14PM
In reviewing my Dr Natale ablation report i just yesterday saw something im not familiar with: HAS BLED score. My bit of research tells me its your risk of a bleed during one year on anti coagulation (eliquis 10 mg) my score was 3. It like a CHADS score i think?? Is based on points awarded (wish it was an award) per particular factors. Age , high BP , previous TIA etc etc. i got a point for high BP which imo i dont have based on home monitor. Office yes!! Anyway a 3 gives me about a 4% risk from what ive researched. Id love for people in the know to chime in. Im always trying to be more educated given our condition. My EP here has never mentioned it but this is my first long term eliquis use. Months probably a year if im lucky
Tom
Re: HAS BLED SCORE ( new to me )
September 06, 2021 07:08PM
For those who are curious, you can calculate your HAS-BLED score here.
Re: HAS BLED SCORE ( new to me )
September 06, 2021 07:51PM
Does a one time (22 hr flight without stretching) DVT count as a point?
Re: HAS BLED SCORE ( new to me )
September 06, 2021 09:04PM
I would say no Susan based on what i read. I dont see clots as a point. Besides anticoagulated is anti clot but im new at this. I think i was rated a 3 for over 65. Alcohol use which is zero now and high BP which im not imo. My score is 1. Lol but thats still about 2% thus why i want a Watchman so maybe i get to aspirin of at least less eliquis. I wonder if plavix counts I assume it does
T
Re: HAS BLED SCORE ( new to me )
September 06, 2021 10:14PM
Quote
susan.d
Does a one time (22 hr flight without stretching) DVT count as a point?

The point of HAS-BLED is to look at the risk of hemorrhagic stroke (bleeds) from anti-coagulation. Then you can balance against ischemic stroke (clots) looking at a risk tool like CHA₂DS₂-VASc.
Re: HAS BLED SCORE ( new to me )
September 07, 2021 08:20AM
And George is right just putting it in its simplest form. I know people on eliquis for years , a guy at our YMCA (all masked again) has been on Warfarin since 1998! So imo if you stay away from the added risks - ibuprofen alcohol aspirin certain herbs blows to the body etc hopefully a bleed is avoided. I sure didnt mean this to scare anyone but education is everything and thus making The Watchman more attractive for sure. We are so fortunate to have the likes of Carey George Shannon etc here. Im very grateful. Shannon has talked me off the cliff a few times. Ive been on eliquis since March and going forward itll be past next march before i may. May? Get the Watchman. And even then youre on Plavix and aspirin for a period.
Tom
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