FRECUENCIA DE INFARTO AGUDO AL MIOCARDIO COMO COMPLICACION DE LA HEMORRAGIA DE TUBO DIGESTIVO ALTO EN EL SERVICIO DE URGENCIAS

Abstract

Introduction: Upper gastrointestinal bleeding is a common cause of hospitalization for what will determine the frequency of myocardial infarct as a complication of it in the emergency department. Methods: A study was conducted cross-sectional and prospective, of patients admitted to the emergency department in the period from November 1, 2009 to October 31, 2010 with a diagnosis of upper gastrointestinal hemorrhage with a review of electrocardiographic and enzymatic studies of CK and CK MB serial in 24 hrs, which underwent evaluation by a cardiologist in a single-blind study. Results and conclusions: The study included 41 patients, 14 women (34%) and 27 men (66%), mean age 65 years, found association between upper gastrointestinal bleeding and myocardial infarct by 12% meet criteria enzymatic and electrocardiographic. Conclusions: The study data suggest that the myocardial infarct is a complication that can occur mostly in elderly patients with silent ischaemia or atypical presentations of the same in patients with upper gastrointestinal bleeding.