Coronary disease & ACS

Clinical outcomes associated with type II myocardial infarction caused by bleeding

Am Heart JPublished Retrospective cohort study

Authors' conclusion

Individuals with T2MI associated with acute hemorrhage are a high-risk population. Patients treated with standard procedures experienced higher readmission but lower mortality than conservatively managed patients.

Study context

Population
Individuals with type II MI caused by acute bleeding, MGB Research Patient Data Registry, 2009–2022
Participants
73 individuals
Exposure
Invasive vs pharmacologic vs conservative management
  • Invasively managedn = 18
  • Pharmacologicn = 39
  • Conservatively managedn = 16reference
Outcome
Mortality, rebleeding and readmission
Follow-up
30-day
Methodological detailsregistry-based, manual physician adjudication, 5,712 coded with acute bleeding; 1,017 coded with T2MI
  • Registry-based
  • Manual physician adjudication
  • 5,712 coded with acute bleeding; 1,017 coded with T2MI

Main finding

As reported in the abstract

  • Invasively managed vs Conservatively managed: P = 0.021
  • Invasively managed vs Conservatively managed: P = 0.045
  • Pharmacologic vs Conservatively managed: P = 0.017
  • Pharmacologic vs Conservatively managed: P = 0.005

Observational data: associations, not effects.

Original publication

Clinical outcomes associated with type II myocardial infarction caused by bleeding. Am Heart J. Published 16 May 2023. doi:10.1016/j.ahj.2023.05.008

Composed by AI from the published abstract and checked against it. How Briefs are made →

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