Background: Little literature exists on the risk of performing coronary intervention (PCI) on patients who have had recent gastrointestinal bleeding (GIB), although bleeding after PCI has been identified as a risk factor for long-term mortality.
Methods: Patients within the Cleveland Clinic PCI database who had acute GIB within 30 days preceding PCI during the same hospitalization (
n = 79) were retrospectively compared to those who had PCI without recent GIB (
n = 10 979) for mortality and need for revascularization. Baseline characteristics, laboratory values, procedures, morbidities, and mortality were compared using chi-square test for categorical variables and using Wilcoxon rank sum test for continuous variables. Mortality data was obtained using Social Security Death Index and demonstrated using Kaplan–Meier method.
Results: The GIB group had more prevalent history of peptic ulcer disease, GIB, gastrointestinal or liver disease (
P < 0.0001), transient ischemic accident (
P = 0.017), peripheral vascular disease (
P = 0.0002), significant carotid artery occlusion (
P = 0.023), and myocardial infarction (
P < 0.0001). 47% of patients had upper GIB with 20% needing endoscopic intervention. This group had more anemia (
P < 0.0001), heart failure (
P = 0.0001), cardiogenic shock (10% versus 1.4%,
P < 0.001), cardiac arrest (7.6% versus 1%,
P < 0.001). GIB group had worse in-hospital mortality (
P < 0.0001), long-term mortality (
P < 0.001), and a 7.6% re-bleeding incidence.
Conclusions: Overall, the patients who had GIB preceding PCI had higher in-hospital mortality and long-term mortality compared with those without GIB before PCI.
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