Gastrointestinal Bleeding Risk Associated With Pulse Pressure in Patients With Atrial Fibrillation: Retrospective Cohort Study - Takeaways - MDSpire

Association Between Pulse Pressure and Gastrointestinal Bleeding Risk in Atrial Fibrillation Patients: A Retrospective Cohort Analysis

  • By

  • Michel Abou Khalil

  • Carlo El Khoury

  • Yishi Jia

  • Maximilian Moersdorf

  • Christian Massad

  • Alex El Darzi

  • Yara Menassa

  • Mohammad Montaser Atasi

  • Ghassan Bidaoui

  • Hadi Younes

  • Ala Assaf

  • Mario Mekhael

  • Eli Tsakiris

  • Chanho Lim

  • Charbel Noujaim

  • Abboud Hassan

  • Yingshuo Liu

  • Mary Margot M Maleckar

  • Rodolfo A Montiel Quintero

  • Omar Kreidieh

  • Amitabh C Pandey

  • Han Feng

  • Qussay Marashly

  • Nassir F Marrouche

  • July 20, 2026

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  • 1

    Atrial fibrillation (AF) significantly increases the risk of thromboembolic stroke, necessitating oral anticoagulation for prevention.

  • 2

    Serious bleeding complications, particularly gastrointestinal and intracranial hemorrhages, are substantial risks associated with anticoagulation therapy.

  • 3

    Current clinical risk scores for bleeding in AF patients, such as HAS-BLED and ORBIT, have limited accuracy in stratifying bleeding risk.

  • 4

    Pulse pressure (PP) is a potential surrogate marker for arterial stiffness and may influence bleeding susceptibility in AF patients.

  • 5

    The independent role of pulse pressure in predicting bleeding risk in AF patients has not been thoroughly explored in previous studies.

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