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Inicio Medicina Clínica (English Edition) Prediction and treatment of bleeding in patients under anticoagulant treatment
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Vol. 156. Issue 1.
Pages 20-25 (January 2021)
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Vol. 156. Issue 1.
Pages 20-25 (January 2021)
Review
Prediction and treatment of bleeding in patients under anticoagulant treatment
Predicción y tratamiento de la hemorragia en pacientes anticoagulados
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José A. Páramo
Corresponding author
japaramo@unav.es

Corresponding author.
Servicio de Hematología, Clínica Universidad de Navarra, IdiSNA, CIBERCV, Pamplona (Navarra), Spain
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Tables (4)
Table 1. Risk factors for anticoagulation-related bleeding.
Table 2. Risk scoring systems to predict bleeding in patients with AF.
Table 3. Stages in the evaluation of the risk of bleeding in patients with venous thromboembolic disease.
Table 4. Risk scoring systems to predict bleeding in patients with VTE.
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Abstract

Major bleeding is a common complication of anticoagulant treatment. Risk assessment tools are relevant in the management of patients with atrial fibrillation and venous thromboembolism. The combination of clinical, biological and genetic markers is incorporated to build predictive scores to help in the decision process about intensity and duration of treatment. The optimal management of bleeding involves the application of predictive scores in combination with anticoagulant reversal strategies.

Keywords:
Hemorrhage
Vitamin K antagonists
Direct oral anticoagulants
Predictive scores
Anticaogulation reversal
Resumen

La terapia anticoagulante conlleva un riesgo aumentado de complicaciones hemorrágicas. Las escalas predictivas son un componente importante en la estratificación del riesgo de sangrado en pacientes anticoagulados con fibrilación auricular y tromboembolismo venoso. La combinación de diversos marcadores clínicos, biológicos y genéticos permite construir escalas que ayudan al clínico en la toma de decisión sobre intensidad y duración del tratamiento. El correcto manejo de la hemorragia implica la aplicación de estas escalas en combinación con estrategias de reversión del efecto anticoagulante.

Palabras clave:
Hemorragia
Antivitaminas K
Anticoagulantes orales directos
Escalas predictivas
Reversión anticoagulación

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