Evidence map›Paper›PMID 41803722›Full record

ArticleBMC cardiovascular disorders2026

High bleeding risk and outcomes in left main percutaneous coronary intervention: prognostic value of the PRECISE-DAPT score.

En-Shao Liu, Yan-Ning Shih, Yi-Ting Wu, Haw-Ting Tai, Kuo-Ming Yang, Ta-Hsin Tai, Cheng-Hung Chiang, Feng-Yu Kuo

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Article in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

En-Shao LiuCardiovascular Medical Center, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan.
Yan-Ning ShihCardiovascular Medical Center, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan.
Yi-Ting WuCardiovascular Medical Center, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan.
Haw-Ting TaiCardiovascular Medical Center, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan.
Kuo-Ming YangCardiovascular Medical Center, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan.
Ta-Hsin TaiDepartment of Cardiology, Kaohsiung Municipal United Hospital, Kaohsiung, Taiwan.
Cheng-Hung ChiangCardiovascular Medical Center, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan.
Feng-Yu KuoCardiovascular Medical Center, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 813414, Taiwan. fykuocv@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe PRECISE-DAPT score is a standardized tool for assessing bleeding risk. However, its prognostic value in patients undergoing left main (LM) percutaneous coronary intervention (PCI) remains unclear. This study evaluated the association between high bleeding risk (HBR), defined by the PRECISE-DAPT score, and clinical outcomes following LM PCI.

methodsThis retrospective study analyzed consecutive patients undergoing LM PCI at a tertiary medical center. Patients were stratified into HBR (score ≥ 25) and non-HBR (score < 25) groups. The primary endpoint was major adverse cardiovascular and cerebrovascular events (MACCE), a composite of all-cause death, myocardial infarction, or stroke at one year.

resultsAmong 489 patients, 251 (51.3%) were classified as HBR. Compared with the non-HBR group, HBR patients exhibited significantly greater frailty, a higher burden of comorbidities, and more complex lesion characteristics. In multivariate Cox regression analysis, HBR was independently associated with an increased risk of MACCE (adjusted HR: 4.22; 95% CI: 2.03 to 8.77; P < 0.001) and bleeding events (adjusted HR: 5.11; 95% CI: 1.46 to 17.90; P = 0.01). Harrell’s C-index demonstrated good discrimination for MACCE (0.75; 95% CI: 0.70 to 0.79) and moderate discrimination for bleeding events (0.68; 95% CI: 0.57 to 0.79).

conclusionHBR, as determined by the PRECISE-DAPT score, is prevalent among patients undergoing LM PCI and associates with increased frailty, comorbidity burden, and adverse ischemic and bleeding outcomes. The PRECISE-DAPT score effectively stratifies systemic risk and supports its integration into clinical decision-making for this high-risk population.

Indexed as

Coronary Artery DiseaseDecision Support TechniquesDual Anti-Platelet TherapyHemorrhagePercutaneous Coronary InterventionPlatelet Aggregation InhibitorsAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRisk AssessmentRisk FactorsStrokePlatelet Aggregation InhibitorsHigh bleeding riskLeft main coronary artery diseasePercutaneous coronary interventionPRECISE-DAPT score

Identifiers

PMID41803722
PMCPMC13085693

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.