Hp infection is closely related to upper gastrointestinal bleeding in patients who need dual-antiplatelet after PCI. Taking anti-Hp treatment has the effect of reducing bleeding risk. Thus, we propose a scientific hypothesis: the C13 breath test may be used to assess the risk of upper gastrointestinal bleeding in patients who need dual- antiplatelet after PCI.
Our study is to retrospectively analyze the clinical data of 1606 patients of acute myocardial infarction who need dual- antiplatelet after PCI.The diagnostic criteria for upper gastrointestinal bleeding is: 1.symptoms: digestive discomfort, such as abdominal pain, nausea, belching, acid reflux, etc.;2.mainly based on endoscopy examination, endoscopic examination showed that the stomach or duodenum showed spotted, linear or diffuse bleeding;3.the fecal examination:melena, tar-like stool, hematemesis, fecal occult blood, etc.The study was divided into two groups according to whether the C13 breath test was performed, and the C13 breath test component was the positive anti-HP treatment group and the non-anti-HP treatment group.And then compare the upper gastrointestinal bleeding rates of the above groups.
Study Type
OBSERVATIONAL
Enrollment
1,500
C13 breath test for patients of acute myocardial infarction who need dual- antiplatelet after PCI.
symptoms of upper gastrointestinal bleeding
Number of participants with digestive discomfort, such as abdominal pain, nausea, belching, acid reflux, etc.
Time frame: 2019-12
endoscopy examination of upper gastrointestinal bleeding
Number of participants with spotted, linear or diffuse bleeding
Time frame: 2019-12
the fecal examination of upper gastrointestinal bleeding
Number of participants with melea, tar-like stool, hematemesis, fecal occult blood, etc.
Time frame: 2019-12
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