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Use of risk scores to identify lower and higher risk subsets among COMPASS‐eligible patients with chronic coronary syndromes: Insights from the CLARIFY registry

Clinical Cardiology Dec 15, 2020

Darmon A, Ducrocq G, Jasilek A, et al. - Given that low‐dose rivaroxaban and aspirin vs aspirin alone afforded a reduction of ischemic events, at the expense of increased bleeding, in chronic coronary syndromes in the COMPASS trial, researchers herein analyzed COMPASS‐eligible patients to determine whether patients with a favorable trade‐off between ischemic and bleeding events could be detected using the CHA2DS2VaSc Score, REACH Recurrent Ischemic (RIS), and REACH Bleeding Risk Score. There were 5.142 patients with ischemic and bleeding outcome of 2.3 (2.1–2.5) and 0.5 (0.4–0.6) per 100 patient‐years, respectively, in the COMPASS‐eligible population. Experts found that identification of potential optimal candidates for adjunction of low‐dose rivaroxaban was enabled by intermediate REACH RIS while patients who exhibited low CHA2DS2VaSc score seemed unlikely to benefit from the COMPASS regimen. Serious bleeding occurrence was not predicted by any of these three risk scores.

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