Discordance and Performance of the ARC-HBR and PRECISE-DAPT High Bleeding Risk Definitions After Coronary Stenting

There was substantial discordance in the categorization of high bleeding risk between the ARC-HBR definition and the PRECISE-DAPT score. Both tools identified patients at increased bleeding risk, but those patients also had increased ischemic risk. The PRECISE-DAPT score underestimated bleeding risk. Guideline-recommended high bleeding risk definitions may not be generalizable across patient populations, and refined scoring systems are needed.

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Publication Details

Journal
JACC: Cardiovascular Interventions
Published
2025-01-22
DOI
https://doi.org/10.1016/j.jcin.2024.10.032
Citations
8
Primary Topic
Coronary Interventions and Diagnostics
Type
article
Field-Weighted Citation Impact
16.05

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article

Discordance and Performance of the ARC-HBR and PRECISE-DAPT High Bleeding Risk Definitions After Coronary Stenting

Tomas Jernberg, Peter Ueda, Carl-Emil Lim, Björn Pasternak et al.
8 citations
JACC: Cardiovascular Interventions
Coronary Interventions and Diagnostics
16.05
article

Discordance and Performance of the ARC-HBR and PRECISE-DAPT High Bleeding Risk Definitions After Coronary Stenting

Tomas Jernberg, Peter Ueda, Carl-Emil Lim, Björn Pasternak, Gustaf Edgren, Moa Simonsson
article en
8 citations

Abstract

There was substantial discordance in the categorization of high bleeding risk between the ARC-HBR definition and the PRECISE-DAPT score. Both tools identified patients at increased bleeding risk, but those patients also had increased ischemic risk. The PRECISE-DAPT score underestimated bleeding risk. Guideline-recommended high bleeding risk definitions may not be generalizable across patient populations, and refined scoring systems are needed.

JACC: Cardiovascular InterventionsVol. 18(5)
Statens Serum Institut (DK), Danderyds sjukhus (SE), Karolinska Institutet (SE), Stockholm South General Hospital (SE), Glanrhyd Hospital (GB)
Riksförbundet HjärtLung, Vetenskapsrådet
Zero hunger
Openalex Percentile: Top 1%
Coronary Interventions and Diagnostics
16.05
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Discordance and Performance of the ARC-HBR and PRECISE-DAPT High Bleeding Risk Definitions After Coronary Stenting — Tomas Jernberg, Peter Ueda, et al. · JACC: Cardiovascular Interventions (2025) | TGRS Research Map | TGRS