Calculators · Cardiology · Score
DAPT score
Also called DAPT risk score, prolonged dual antiplatelet therapy score
Whether continuing DAPT beyond 12 months after PCI is likely to give more ischaemic benefit than bleeding harm.
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Formula and scoring
Age 65–<75 −1, ≥75 −2; smoking, diabetes, MI at presentation, prior PCI/MI, paclitaxel stent, stent <3 mm 1 each; CHF/LVEF <30% 2; vein graft PCI 2. Range −2 to 10; ≥2 favours prolonged DAPT.
Exam and ward pearls
- Age lowers the score: older patients bleed more and gain less from prolonged DAPT.
When not to rely on it
- Apply only at 12 months to patients who completed DAPT without major bleeding or ischaemic events.
- Modest discrimination (c about 0.64–0.70); the authors call for prospective evaluation.
Source
- Yeh RW, Secemsky EA, Kereiakes DJ, et al. Development and validation of a prediction rule for benefit and harm of dual antiplatelet therapy beyond 1 year after percutaneous coronary intervention. JAMA. 2016;315(16):1735-49. doi:10.1001/jama.2016.3775 · PMID 27022822
Formula and cut-offs checked against these sources on 8 Nov 2026. Educational tool for clinicians; it does not replace clinical judgement.