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(A155) Acute Myocardial Infarction with Upper Gastrointestinal Bleeding

Published online by Cambridge University Press:  25 May 2011

S. Tandon ,
P. Bordoloi  and
T. Kole
S. Tandon
Affiliation:
Emergency, New Delhi, India
P. Bordoloi
Affiliation:
Emergency, New Delhi, India
T. Kole
Affiliation:
Emergency, New Delhi, India
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Abstract

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Objective

To report a rare case of Acute Myocardial Infarction (AMI) along with Upper Gastrointestinal bleeding (UGIB).

Presentation and Intervention

A 58 year old male with history of black coloured stools was admitted in ER for chest pain and coffee ground emesis. ECG showed an acute inferior wall MI. After doing the necessary interventions, patient was inserted with a nasogastric tube and started on medications in the Emergency for UGIB followed by immediate endoscopy. Endoscopy confirmed presence of multiple superficial Ulcers in the stomach along with Esophagitis.

Conclusion

We support Esophagogastroduodenoscopy (EGD) prior to cardiac catheterisation in patients with AMI associated with overt Upper GI Bleed. This results in fewer complications as compared with direct catheterization

Type
Abstracts of Scientific and Invited Papers 17th World Congress for Disaster and Emergency Medicine
Information
Prehospital and Disaster Medicine , Volume 26 , Supplement S1 , May 2011 , pp. s44
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2011