Research Progress in Bleeding Risk Assessment of Non-Vitamin K Antagonist Oral Anticoagulant in Atrial Fibrillation

Chao YU, Wei ZHOU, Tao WANG, Lingjuan ZHU, Huihui BAO, Xiaoshu CHENG

Acta Academiae Medicinae Sinicae ›› 2025, Vol. 47 ›› Issue (3) : 452-461.

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Acta Academiae Medicinae Sinicae ›› 2025, Vol. 47 ›› Issue (3) : 452-461. DOI: 10.3881/j.issn.1000-503X.16331
Review Articles

Research Progress in Bleeding Risk Assessment of Non-Vitamin K Antagonist Oral Anticoagulant in Atrial Fibrillation

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Abstract

The introduction of non-vitamin K antagonist oral anticoagulant (NOAC) into clinical use heralds a new age for anticoagulation therapy in patients with atrial fibrillation (AF).However,anticoagulation-related bleeding is currently a major challenge in the anticoagulation process.Assessing the risk of anticoagulation-related bleeding is an important part for the management of patients with AF.Clinical risk factor scores have moderate ability to predict the risk of anticoagulation-related bleeding.To improve the anticoagulation safety of NOACs,additional clinical and biological markers and genetic polymorphisms should be considered to enhance the predictive capability for anticoagulation-related bleeding.This review summarizes the challenges in the management of anticoagulation therapy,with emphases on the bleeding risk scores,biomarkers,clinical indicators,and genetic loci currently used to guide the risk assessment of anticoagulation-related bleeding in AF patients.This review is expected to provide research insights and reference frameworks for predicting and evaluating the bleeding risk associated with NOACs.

Key words

non-vitamin K antagonist oral anticoagulant / atrial fibrillation / bleeding risk / gene

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Chao YU , Wei ZHOU , Tao WANG , et al . Research Progress in Bleeding Risk Assessment of Non-Vitamin K Antagonist Oral Anticoagulant in Atrial Fibrillation[J]. Acta Academiae Medicinae Sinicae. 2025, 47(3): 452-461 https://doi.org/10.3881/j.issn.1000-503X.16331

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