Hemorrhagic risk factors according to HAS-BLED score in patients with non-valvular atrial fibrillation
Keywords:
ATRIAL FIBRILLATION, STROKE, RISK FACTORS.Abstract
Introduction: atrial fibrillation is the most common arrhythmia; its prevalence increases with age and is a risk factor for the development of cerebrovascular disease.
Objective: to identify hemorrhagic risk factors according to HAS-BLED score in patients with permanent non-valvular atrial fibrillation treated at Dr. Leon Cuervo Rubio Provincial Clinical-Surgical-Teaching Hospital in Pinar del Río.
Methods: an observational, descriptive and cross-sectional research was conducted in patients attended Dr. Leon Cuervo Rubio Provincial Clinical-Surgical-Teaching Hospital between July 2017-July 2018. The population consisted of 130 patients with permanent non-valvular atrial fibrillation, 80 of them were studied by simple random sampling. The HAS-BLED score was applied to identify hemorrhagic risk factors.
Results: fifty seven point fifty percent (57,50 %) of the patients studied belonged to 78-97year age group and 65 % were represented by male sex. Seventy-five percent was white race. According to the HAS-BLED score, the most common risk factor was in patients over 65 years (75 %) and 73 % of the patients presented a high risk of bleeding.
Conclusions: Atrial fibrillation is the most frequent arrhythmia as age progresses, with a negative impact on the quality of life of patients who suffer from it, due to the complications that arise.
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1. Reyes Sanamé FA, Pérez Álvarez ML, Alfonso Figueredo E, Núñez Molina B, Jiménez Rodríguez K. Fibrilación auricular. Panorámica sobre un tema actualizado. CCM [Internet]. 2018 Dic [citado 06/12/2019]; 22(4): [Aprox 23p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1560-43812018000400014&lng=es
2. Forero-Gómez E, Moreno JM, Agudelo CA, Rodríguez-Arias EA, Sánchez-Moscoso PA. Fibrilación auricular: enfoque para el médico no cardiólogo. LATREIA [Internet]. 2017 [Citado 02/12/2019]; 30(4): [Aprox 22p.]. Disponible en: http://www.scielo.org.co/pdf/iat/v30n4/0121-0793-iat-30-04-00404.pdf
3. Marín F. Fibrilación Auricular Estándar de Calidad SEC Proceso. Soc española de cardiología [Internet]. 2018 [Citado 02/12/2019]: [Aprox 73p.]. Disponible en: https://secardiologia.es/images/SEC-Excelente/Proceso_FA_20180309.pdf
4. Fortuny Frau E. Validación de la escala de riesgo hemorrágico HAS-BLED en una población hospitalaria de nuestro medio [Tesis]. Madrid: Universidad Complutense; 2018. [Citado 02/12/2019]. Disponible en: https://eprints.ucm.es/46952/1/T39735.pdf
5. Mateo J. Avances en anticoagulación oral: papel del rivaroxabán. Rev Esp Cardiol [Internet]. 2013 [Citado 04/12/2019]; 13(C): [Aprox 4p.]. Disponible en: https://www.revespcardiol.org/es-nuevos-anticoagulantes-orales-su-papel-articulo-S1131358713700578
6. Pérez-Copete J, Asunción Esteve-Pastor M, Roldán V, Valdés M, Marín F. Fibrilación auricular Escalas de evaluación del riesgo tromboembólico y hemorrágico en la fibrilación auricular. Rev Esp Cardiol Supl. [Internet]. 2016 [Citado 02/12/2019]; 16(Supl 1): [Aprox 7p.]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1131358716300115
7. Guindo Soldevila J, Martínez Ruíz MD, Duran Robert I, Tornos P, Martínez-Rubio A. Evaluación de riesgo tromboembólico y hemorrágico de los pacientes con fibrilación auricular. Rev Esp Cardiol [Internet]. 2013 [Citado 02/12/2019]; 13(C): [Aprox 4p.]. Disponible en: https://www.revespcardiol.org/es-evaluacion-riesgo-tromboembolico-hemorragico-los-articulo-S1131358713700530
8. Velásquez JE, Sebastián Naranjo MC, Mauricio Duque G. La fibrilación auricular y su comportamiento en la mujer. Revista Colombiana de Cardiología [Internet]. 2018 [Citado 02/12/2019]; 25(Supl 1): [Aprox 4p.]. Disponible en: https://www.sciencedirect.com/science/article/pii/S0120563317302504
9. Gómez-Doblasa JJ, López-Garrido MA, Esteve-Ruiz I, Barón-Esquivias G. Epidemiología de la fibrilación auricular. Rev Española de Cardiología [Internet]. 2016 [Citado 03/12/2019]; 16(1): [Aprox. 5p.]. Disponible en: https://www.revespcardiol.org/en-epidemiologia-fibrilacion-auricular-articulo-S1131358716300073
10. Moreno Peña LE, Hernández Hervis IT, Moreno Peña R, García Peñate G, García García D. Conducta antitrombótica en pacientes con fibrilación auricular e ictus isquémico. Hospital Faustino Pérez. Año 2017. Rev Med Electrón [Internet]. 2018 Jun [Citado 2019 Dic 02]; 40(3): [Aprox 11p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242018000300012&lng=es.
11. López-Sendóna J, Merinob JL. Nuevos tratamientos anticoagulantes para la prevención del ictus y la embolia sistémica en la fibrilación auricular. Rev Esp Cardiol Supl [Internet]. 2012 [Citado 02/12/2019]; 12(2): [Aprox 6p.]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1131358712700468
12. Fernández Arranz M. Situación del riesgo de embolia y de hemorragia según las escalas CHADS₂, CHA₂DS₂-VASc y HAS-BLED en pacientes con diagnóstico de fibrilación auricular crónica, en un centro de salud de Madrid [Tesis]. Madrid: Universidad Complutense; 2016 [Citado 02/12/2019]. Disponible en: https://eprints.ucm.es/38911/1/T37694.pdf
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