HAS-BLED
Medical abbreviation · Cardiology
| Stands for | Hypertension, Abnormal kidney or liver function, Stroke, Bleeding, Labile INR, Elderly, Drugs or alcohol |
|---|---|
| Categories | Medical |
HAS-BLED stands for Hypertension, Abnormal kidney or liver function, Stroke, Bleeding, Labile INR, Elderly, Drugs or alcohol, a cardiology abbreviation.
Score estimating the risk of major bleeding in patients with atrial fibrillation on anticoagulants, with one point for each factor and a maximum of 9. A score of 3 or more marks high bleeding risk, prompting attention to modifiable factors rather than automatically withholding anticoagulation.
Example: HAS-BLED 3 due to uncontrolled HTN and NSAID use; stop ibuprofen and recheck BP in 2 weeks.
Usage notes
Published in 2010 by Pisters and colleagues using Euro Heart Survey data. Guidelines stress that a high score is a reason to correct modifiable risks, such as blood pressure, alcohol and unnecessary antiplatelet drugs, and to follow the patient more closely, not to deny stroke prevention. The "labile INR" item applies only to warfarin users.
Related abbreviations
More cardiology abbreviations
- EVAR – Endovascular aneurysm repair
- FFR – Fractional flow reserve
- FH – Familial hypercholesterolemia
- GDMT – Guideline-directed medical therapy
- GRACE – Global Registry of Acute Coronary Events
- GXT – Graded exercise test
- HBP – High blood pressure
- HCM – Hypertrophic cardiomyopathy
- HF – Heart failure
- HFimpEF – Heart failure with improved ejection fraction
- HFmrEF – Heart failure with mildly reduced ejection fraction
- HFpEF – Heart failure with preserved ejection fraction
See all 229 cardiology abbreviations →
This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.