消化道出血合并急性心梗.pdf

International Journal of Cardiology 157 (2012) 386–390 Contents lists available at ScienceDirect International Journal of Cardiology journal homepage: www.elsevier. com/ locate/ ijcard Incidence, predictors and outcome of upper gastrointestinal bleeding in patients with acute coronary syndromes Aryeh Shalev a,⁎, Doron Zahger a, Victor Novack b, Ohad Etzion c, Avi Shimony a, Harel Gilutz a, Carlos Cafri a, Reuben Ilia a, Alexander Fich c a Department of Cardiology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel b Soroka Clinical Research Center, Beer Sheva, Israel c Institute of Gastroenterology, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel a r t i c l e i n f o a b s t r a c t Article history: Background: The broad utilization of revascularization and antithrombotic therapy in patients with acute Received 4 December 2009 coronary syndrome (ACS) is associated with a substantial risk of bleeding primarily related to arterial Received in revised form 4 December 2010 punctures, which can lead to worse outcome. Accepted 22 December 2010 Aim: To define the characteristics and outcome of patients who develop upper gastrointestinal bleeding Available online 31 January 2011 (UGIB) in the setting of ACS. Methods: We identified all patients admitted to the coronary care unit between 10/96 and 11/07 with ACS Keywo