title: Bleeding complications in patients with acute coronary syndromes: are they important and how can we prevent them?
abstract: Progress in antithrombotic medications and revascularization procedures has helped to reduce mortality in patients with acute coronary syndromes (ACS). However, these therapies can significantly increase the risk of bleeding. Bleeding complications are important clinical outcomes in patients with ACS. Data from numerous randomized controlled trials and large registries have demonstrated that bleeding is independently associated with a significantly higher risk of mortality in patients with ACS. Furthermore, bleeding complications are associated with an increased risk of recurrent ischemic events. The challenge of preventing bleeding complications while obtaining the optimal antithrombotic benefits of ACS management requires careful consideration of factors associated with patients, pharmacotherapy, and interventional procedures. Clinicians should be able to risk stratify patients for bleeding events just as they would do for recurrent ischemic events in ACS.
authors.affiliation: Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Faizan
authors.initials: F
authors.lastname: Amin
authors.forename: Sanjit
authors.initials: S
authors.lastname: Jolly
mesh_terms: D054058:Acute Coronary Syndrome / Q000188:drug therapy* / Q000401:mortality; D000991:Antithrombins / Q000009:adverse effects*; D002986:Clinical Trials as Topic; D006470:Hemorrhage / Q000139:chemically induced* / Q000401:mortality / Q000517:prevention & control*; D006801:Humans; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects*; D018570:Risk Assessment; D012307:Risk Factors
chemical_list: D000991:Antithrombins; D010975:Platelet Aggregation Inhibitors