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Relationship between symptoms of ischemic heart disease and upper abdominal digestive organ disease

Masato Sekiguchi1, Takanori Murayama

  • 1Department of Anesthesia and Intensive Care Unit, Omiya Medical Center, Jichi Medical School, 1-847 Amanuma, 330-0834 Omiya, Japan.

Journal of Anesthesia
|August 4, 2004
PubMed

Insights

Percutaneous trans-arterial coronary angioplasty (PTCA) may reduce cardiac issues in ischemic heart disease (IHD) patients undergoing abdominal surgery. This study details symptoms of IHD patients with concurrent upper abdominal digestive organ disease (ADOD).

Area of Science:

  • Cardiology
  • Gastroenterology
  • Surgical Oncology

Background:

  • Ischemic heart disease (IHD) patients undergoing abdominal surgery face elevated cardiac complication risks.
  • Previous findings suggested percutaneous trans-arterial coronary angioplasty (PTCA) might mitigate these risks.
  • Concomitant upper abdominal digestive organ disease (ADOD) is common in IHD patients, potentially complicating management.

Purpose of the Study:

  • To investigate the relationship between IHD symptoms and ADOD in patients who underwent PTCA.
  • To identify specific clinical features of IHD patients with co-occurring ADOD.
  • To provide data aiding differential diagnosis and treatment decisions for this patient cohort.

Main Methods:

  • Retrospective analysis of 1293 patients with IHD who underwent PTCA at the institute.
  • Focused review of 6 patients who underwent abdominal surgery under general anesthesia within 14-150 days post-PTCA.
  • Observation of symptoms and chief complaints in patients with IHD and concomitant ADOD.

Main Results:

  • Six patients with IHD underwent abdominal surgery after successful PTCA.
  • Specific features of chief complaints and symptoms were identified in IHD patients with concurrent ADOD.
  • The study highlights the interplay between cardiac and upper gastrointestinal conditions.

Conclusions:

  • The study identified key clinical features in IHD patients experiencing concomitant upper ADOD.
  • This information is valuable for improving differential diagnosis accuracy.
  • Findings support better-informed treatment strategies for complex patient cases involving IHD and ADOD.

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