Clinical outcomes associated with type II myocardial infarction caused by bleeding
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
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