Key result
Variceal bleeding is linked to a ~4-fold higher rate of myocardial injury than ulcer bleeding.
Why the study?
The epidemiology and predictive risk factors of simultaneous upper gastrointestinal bleeding and myocardial injury were not well characterized.
What are the predictive risk factors for simultaneous myocardial injury in patients presenting with upper gastrointestinal bleeding?
Comparison
Patients with and without simultaneous myocardial injury
Design
Observational cohort study
Follow-up
Hospital stay duration
Authors
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May warrant cardiac monitoring in UGIB; observational data leave open causal links and optimal management strategies.
Observational (n=155)
What are the predictive risk factors for simultaneous myocardial injury in patients presenting with upper gastrointestinal bleeding?
Absolute Event Rate: 80% vs 20.5%
Patients with upper gastrointestinal bleeding who have a history of liver cirrhosis and multiple cardiac risk factors are at high risk for simultaneous myocardial injury, which is associated with longer hospital stays and increased transfusion needs.
Wu et al. (2007) conducted an observational in Upper gastrointestinal bleeding (n=155). Variceal bleeding vs. Ulcer bleeding was evaluated on Myocardial injury. Among patients with upper gastrointestinal bleeding, simultaneous myocardial injury was more common in those with variceal bleeding (80.0%) compared to ulcer bleeding (20.5%).
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