Endoscopic Complications in Post MI Patients

摘要

Background: Early intervention with percutaneous transarterial coronary angioplasty (PTCA) is thought to improve outcome in patients with acute coronary syndromes (ACS). Many cardiologists require endoscopic investigation of patients with anaemia or evidence of a GI blood loss prior to PTCA, resulting in an increase in the number of procedures in patients with a recent history of ACS. The diagnostic yield in this patient group has not been reported; furthermore, performing endoscopy within 3 months of ACS may be associated with increased morbidity and mortality. Objectives: To review the incidence of complications and diagnostic yield in patients undergoing endoscopy with recent ACS compared to matched controls, over one year period in a London teaching hospital with a large interventional cardiology department. Methods: A retrospective review was performed using the Adam~(TM) endoscopic reporting system. Patients referred for endoscopic procedures with a history of ACS within the previous 60 days wereidentified. The control group consisted of inpatients referred for endoscopic procedures, matched for age, sex and indication.