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West Ashley Library
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Phone: (843) 766-6635
Folly Beach Library
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Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
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Phone: (843) 883-3914
Wando Mount Pleasant Library
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Phone: (843) 805-6888
Village Library
9 a.m. – 6 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. – 8 p.m.
Phone: (843) 889-3300
Otranto Road Library
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Mt. Pleasant Library
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McClellanville Library
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Keith Summey North Charleston Library
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John's Island Library
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Hurd/St. Andrews Library
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Miss Jane's Building (Edisto Library Temporary Location)
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Dorchester Road Library
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John L. Dart Library
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Baxter-Patrick James Island
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Main Library
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Phone: (843) 805-6930
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Phone: (843) 805-6909
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Management of Patient with Simultaneous Overt Gastrointestinal Bleeding and Myocardial Infarction with ST-Segment Elevation - Priority Endoscopy.
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- Author(s): Nozewski, Jakub; Grzesk, Grzegorz; Klopocka, Maria; Wicinski, Michal; Nicpon-Nozewska, Klara; Konieczny, Jakub; Wlodarczyk, Adam
- Source:
Vascular Health & Risk Management; Mar2021, Vol. 17, p123-133, 11p- Subject Terms:
GASTROINTESTINAL hemorrhage; MYOCARDIAL infarction; HOSPITAL mortality; DIAGNOSIS; PROGNOSIS; ENDOSCOPY; THROMBOLYTIC therapy; GASTROINTESTINAL hemorrhage diagnosis; GASTROINTESTINAL hemorrhage treatment; TIME; ENDOSCOPIC hemostasis; MEDICAL care; PATIENTS; CARDIOVASCULAR system; TREATMENT effectiveness; RISK assessment; PLATELET aggregation inhibitors; ENDOSCOPIC gastrointestinal surgery; DISEASE complications - Source:
- Additional Information
- Abstract:
Background: The current ERC guidelines are the source of many positive changes, reduction of mortality, length of hospitalization and improvement of prognosis of STEMI patients. However, there is a small group of patients whose slight modification in guidelines would further reduce in-hospital mortality and hospitalization costs. These are patients with concomitant STEMI infarction and gastrointestinal bleeding.Methods: Two separate methods of treatment were compared in patients with concomitant gastrointestinal bleeding and ST-segment elevation myocardial infarction. The first - traditional approach, in the line with the ESC guidelines, the second innovative, with priority for endoscopy.Results: Despite the innovative approach, the patient with endoscopy before PCI was discharged without complication. A patient who has undergone coronary intervention and who has been started on typical antiplatelet therapy prior to gastroenterological diagnosis has died due to massive bleeding.Conclusion: For ethical reasons and in connection with the cardiological guidelines of the management of ACS, a study of patients with ASC a high risk of intestinal bleeding, in which endoscopy will have priority, and only later PCI, will probably never be performed. Although, as the described case shows, despite exceeding the 90 minutes time to implement PCI (<120 minutes) in logistic terms such behavior is completely feasible. [ABSTRACT FROM AUTHOR] - Abstract: Copyright of Vascular Health & Risk Management is the property of Dove Medical Press Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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