Incidence and prognostic impact of gastrointestinal bleeding after percutaneous coronary intervention for acute myocardial infarction

被引:110
作者
Abbas, AE
Brodie, B
Dixon, S
Marsalese, D
Brewington, S
O'Neill, WW
Grines, LL
Grines, CL [1 ]
机构
[1] William Beaumont Hosp, Div Cardiovasc Dis, Royal Oak, MI 48073 USA
[2] Moses Cone Hosp, Div Cardiovasc Dis, Greensboro, NC USA
关键词
D O I
10.1016/j.amjcard.2005.03.038
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We examined the incidence, presentation, and outcome of patients who developed gastrointestinal bleeding after percutaneous coronary intervention for acute myocardial infarction in the Primary Angioplasty in Myocardial Infarction trials. Of the 3,130 patients, 71 (2.3%) developed gastrointestinal bleeding, which was more likely to occur in elderly patients. Gastrointestinal bleeding was independently associated with a prolonged hospital stay and greater in-hospital and 6-month mortality. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:173 / 176
页数:4
相关论文
共 11 条
[1]   Myocardial infarction in critically ill patients presenting with gastrointestinal hemorrhage - Retrospective analysis of risks and outcomes [J].
Bhatti, N ;
Amoateng-Adjepong, Y ;
Qamar, A ;
Manthous, CA .
CHEST, 1998, 114 (04) :1137-1142
[2]  
CAPPELL MS, 1993, AM J GASTROENTEROL, V88, P344
[3]   Gastrointestinal bleeding associated with myocardial infarction [J].
Cappell, MS .
GASTROENTEROLOGY CLINICS OF NORTH AMERICA, 2000, 29 (02) :423-+
[4]   Myocardial infarction complicating gastrointestinal hemorrhage [J].
Emenike, E ;
Srivastava, S ;
Amoateng-Adjepong, Y ;
Al-Kharrat, T ;
Zarich, S ;
Manthous, CA .
MAYO CLINIC PROCEEDINGS, 1999, 74 (03) :235-241
[5]   Coronary angioplasty with or without stent implantation for acute myocardial infarction [J].
Grines, CL ;
Cox, DA ;
Stone, GW ;
Garcia, E ;
Mattos, LA ;
Giambartolomei, A ;
Brodie, BR ;
Madonna, O ;
Eijgelshoven, M ;
Lansky, AJ ;
O'Neill, WW ;
Morice, MC .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 341 (26) :1949-1956
[6]   A Randomized trial of transfer for primary angioplasty versus on-site thrombolysis in patients with high-risk myocardial infarction - The Air Primary Angioplasty in Myocardial Infarction study [J].
Grines, CL ;
Westerhausen, DR ;
Grines, LL ;
Hanlon, JT ;
Logemann, TL ;
Niemela, M ;
Weaver, WD ;
Graham, M ;
Boura, J ;
O'Neill, WW ;
Balestrini, C .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 39 (11) :1713-1719
[7]  
GRINES CL, 1993, NEW ENGL J MED, V328, P726
[8]   High incidence of clopidogrel-associated gastrointestinal bleeding in patients with previous peptic ulcer disease [J].
Ng, FH ;
Wong, SY ;
Chang, CM ;
Chen, WH ;
Kng, C ;
Lanas, AI ;
Wong, BCY .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2003, 18 (04) :443-449
[9]   A prospective, randomized evaluation of prophylactic intraaortic balloon counterpulsation in high risk patients with acute myocardial infarction treated with primary angioplasty [J].
Stone, GW ;
Marsalese, D ;
Brodie, BR ;
Griffin, JJ ;
Donohue, B ;
Costantini, C ;
Balestrini, C ;
Wharton, T ;
Esente, P ;
Spain, M ;
Moses, J ;
Nobuyoshi, M ;
Ayres, M ;
Jones, D ;
Mason, D ;
Grines, L ;
ONeill, WW ;
Grines, CL ;
Sachs, D ;
Graham, M ;
McKinney, P ;
Jewett, H ;
Kreis, A ;
Brodsky, M ;
Friedman, H ;
Gangadharan, V ;
Goldman, L ;
Levin, R ;
Pavlides, G ;
Ramos, R ;
Safian, R ;
Savas, V ;
Schreiber, T ;
Ajluni, S ;
Almany, S ;
Boatman, J ;
StGoar, FG ;
Bavor, C ;
Constantino, R ;
Klughaupt, M ;
Saah, I ;
Bough, E ;
Osterle, S ;
McWard, C ;
Stuckey, TD ;
Weintraub, RA ;
Gregory, T ;
Bondy, DR ;
Lasorda, DM ;
Begg, R .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (07) :1459-1467
[10]  
Thizon-de-Gaulle I, 1998, Rev Port Cardiol, V17, P993