Gastroenterological Perspectives on Acute Cardiac Care — the Management of Patients with Implanted Coronary Stents Following an Acute Coronary Syndrome
Cardiovascular and digestive diseases frequently share the same risk factors such as obesity, unhealthy diet, or several social behaviors, and the increasing prevalence of patients with overlapped cardiovascular and digestive symptoms is a challenging problem in the daily practice. Patients with gas...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2018-03-01
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| Series: | Journal of Cardiovascular Emergencies |
| Subjects: | |
| Online Access: | https://doi.org/10.2478/jce-2018-0006 |
| _version_ | 1818280602519994368 |
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| author | Negovan Anca Mester András Dumitrașcu Dan |
| author_facet | Negovan Anca Mester András Dumitrașcu Dan |
| author_sort | Negovan Anca |
| collection | DOAJ |
| description | Cardiovascular and digestive diseases frequently share the same risk factors such as obesity, unhealthy diet, or several social behaviors, and the increasing prevalence of patients with overlapped cardiovascular and digestive symptoms is a challenging problem in the daily practice. Patients with gastro-esophageal reflux disease can exhibit various forms of chest pain that can be very similar to angina. Furthermore, antithrombotic therapies used for preventive or curative purposes in patients with cardiovascular diseases are frequently associated with gastrointestinal side effects including bleeding. At the same time, in patients with coronary stents presenting to the emergency department with chest pain, angina triggered by stent thrombosis or restenosis should be differentiated from angina-like symptoms caused by a gastrointestinal disease. The aim of this review was to present the complex inter-relation between gastroesophageal diseases and angina in patients on dual antiplatelet therapy following an acute coronary syndrome, with a particular emphasis on the role of anemia resulting from occult or manifest gastrointestinal bleeding, as a precipitating factor for triggering or aggravating angina. |
| first_indexed | 2024-12-12T23:51:50Z |
| format | Article |
| id | doaj.art-c036679dc08542f19efa7847bbe320c4 |
| institution | Directory Open Access Journal |
| issn | 2457-5518 |
| language | English |
| last_indexed | 2024-12-12T23:51:50Z |
| publishDate | 2018-03-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Cardiovascular Emergencies |
| spelling | doaj.art-c036679dc08542f19efa7847bbe320c42022-12-22T00:06:41ZengSciendoJournal of Cardiovascular Emergencies2457-55182018-03-014181610.2478/jce-2018-0006Gastroenterological Perspectives on Acute Cardiac Care — the Management of Patients with Implanted Coronary Stents Following an Acute Coronary SyndromeNegovan Anca0Mester András1Dumitrașcu Dan2Clinic of Internal Medicine II, University of Medicine and Pharmacy, Tîrgu Mureș, RomaniaClinic of Cardiology, University of Medicine and Pharmacy, Tîrgu Mureș, RomaniaClinic of Gastroenterology, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, RomaniaCardiovascular and digestive diseases frequently share the same risk factors such as obesity, unhealthy diet, or several social behaviors, and the increasing prevalence of patients with overlapped cardiovascular and digestive symptoms is a challenging problem in the daily practice. Patients with gastro-esophageal reflux disease can exhibit various forms of chest pain that can be very similar to angina. Furthermore, antithrombotic therapies used for preventive or curative purposes in patients with cardiovascular diseases are frequently associated with gastrointestinal side effects including bleeding. At the same time, in patients with coronary stents presenting to the emergency department with chest pain, angina triggered by stent thrombosis or restenosis should be differentiated from angina-like symptoms caused by a gastrointestinal disease. The aim of this review was to present the complex inter-relation between gastroesophageal diseases and angina in patients on dual antiplatelet therapy following an acute coronary syndrome, with a particular emphasis on the role of anemia resulting from occult or manifest gastrointestinal bleeding, as a precipitating factor for triggering or aggravating angina.https://doi.org/10.2478/jce-2018-0006dual antiplatelet therapygastrointestinal bleedingrecurrent angina |
| spellingShingle | Negovan Anca Mester András Dumitrașcu Dan Gastroenterological Perspectives on Acute Cardiac Care — the Management of Patients with Implanted Coronary Stents Following an Acute Coronary Syndrome Journal of Cardiovascular Emergencies dual antiplatelet therapy gastrointestinal bleeding recurrent angina |
| title | Gastroenterological Perspectives on Acute Cardiac Care — the Management of Patients with Implanted Coronary Stents Following an Acute Coronary Syndrome |
| title_full | Gastroenterological Perspectives on Acute Cardiac Care — the Management of Patients with Implanted Coronary Stents Following an Acute Coronary Syndrome |
| title_fullStr | Gastroenterological Perspectives on Acute Cardiac Care — the Management of Patients with Implanted Coronary Stents Following an Acute Coronary Syndrome |
| title_full_unstemmed | Gastroenterological Perspectives on Acute Cardiac Care — the Management of Patients with Implanted Coronary Stents Following an Acute Coronary Syndrome |
| title_short | Gastroenterological Perspectives on Acute Cardiac Care — the Management of Patients with Implanted Coronary Stents Following an Acute Coronary Syndrome |
| title_sort | gastroenterological perspectives on acute cardiac care the management of patients with implanted coronary stents following an acute coronary syndrome |
| topic | dual antiplatelet therapy gastrointestinal bleeding recurrent angina |
| url | https://doi.org/10.2478/jce-2018-0006 |
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