In this single center study of patient presenting with acute UGI bleeding, those with stable CAD were compared to those without CAD. On continuous EKG monitoring, those with CAD has significantly more procedural ventricular ectopy (42% vs 16%), and more sub-clinical ischemia (18% vs 2%). However, clinical outcomes were not significantly different (length of stay or mortality). Although ventricular arrhythmias and sub-clinical ischemia is common in patients with stable CAD undergoing EGD, it’s clinical significance is not yet clear (abstract).
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