Ischemia frequency during EGD in CAD patients

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).

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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