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Model to predict bleeding, thrombotic risks may help tailor PCI management


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Journal
JAMA Cardiology
Reuters Health - 15/01/2021 - Clinical decision-making at the time of percutaneous coronary intervention (PCI) in certain patients can be aided by a model which takes into account both bleeding risk and the likelihood of other untoward events, according to an international group of researchers. "PCI patients at high bleeding risk (HBR) are known to also have an increased risk of coronary thrombotic events (myocardial infarction and/or stent thrombosis). We believe our model can assist physicians in assessing the absolute and relative risks of bleeding versus thrombosis after PCI in individual HBR patients," Dr. Philip Urban of Hopital de la Tour, in Geneva, told Reuters Health by email. To develop and validate their model, Dr. Urban and colleagues used individual data from six studies involving more than 6,600 HBR patients with an average age of 80 years. The studies took place between 2009 and 2017 in more than 200 centers in Europe and the U.S. Patients wer...


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