HomeCardiovascular Scores, Indexes, And Algorithms › ENTRUST-AF PCI Score (CHA2DS2-VASc & HAS-BLED) Calculator

ENTRUST-AF PCI Score (CHA2DS2-VASc & HAS-BLED) Calculator

  • Age (years)
  • Sex
  • Congestive heart failure / Left ventricular dysfunction
  • Hypertension (history of treated hypertension)
  • Diabetes mellitus
  • Prior stroke / TIA / thromboembolism
  • Vascular disease (prior MI, PAD, or aortic plaque)
  • Abnormal renal function (dialysis, transplant, or creatinine > 200 µmol/L)
  • Abnormal liver function (chronic hepatic disease / biochemical evidence)
  • Prior major bleeding or predisposition to bleeding
  • Drugs predisposing to bleeding (antiplatelet agents, NSAIDs) or concomitant use
  • Alcohol use (>8 drinks/week)
  • References and context
    The ENTRUST-AF PCI randomized trial and its prespecified analyses inform antithrombotic choices for AF patients undergoing PCI. Key publications: Vranckx P, et al. ENTRUST-AF PCI (Lancet 2019) — trial report; prespecified analyses and subgroup reports are available in subsequent journal publications. Clinicians should combine the trial evidence with individual CHA₂DS₂-VASc and HAS-BLED assessment when deciding antithrombotic regimens after PCI.

    Selected references:
    Vranckx P, et al. Edoxaban-based versus vitamin K antagonist-based antithrombotic regimen after successful coronary stenting in patients with atrial fibrillation (ENTRUST-AF PCI): a randomised, open-label, phase 3b trial. Lancet. 2019;394(10206):1335–1343.
    Vranckx P, et al. Prespecified analyses of ENTRUST-AF PCI: clinical predictors and subgroup outcomes. Eur Heart J. (analysis).
    Additional reviews and subanalyses of AF+PCI populations and bleeding/ischemic predictors also provide context for risk stratification and therapy selection.