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ARC-HBR criteria for high bleeding risk
Flags high bleeding risk before PCI/DAPT decisions.
ARC-HBR criteria for high bleeding risk
Number of major criteria met
e.g. long-term oral anticoagulation, eGFR <30, Hb <11 g/dL, recent bleed needing transfusion/hospitalization, severe thrombocytopenia, cirrhosis with portal hypertension, active malignancy, prior spontaneous intracranial hemorrhage.
Number of minor criteria met
e.g. age >=75, moderate CKD (eGFR 30-59), Hb 11-12.9 (men) / 11-11.9 (women), spontaneous bleed needing hospitalization in the past year, long-term NSAID/steroid use, prior ischemic stroke.
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When to use
- Identifying patients at high bleeding risk when planning PCI and antiplatelet duration.
Formula
High bleeding risk if at least 1 major criterion or at least 2 minor criteria are present.