Impact of Blood Transfusions in Patients Presenting With Anemia and Suspected Acute Coronary Syndrome

Anemia has been shown to predict adverse events in patients presenting with acute coronary syndromes and non–ST-elevation myocardial infarctions (MIs). Less is known about the value of blood transfusions in this setting. We sought to evaluate the impact of red blood cell transfusions on outcomes. Tr...

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Bibliographic Details
Published in:The American journal of cardiology 2007-04, Vol.99 (8), p.1119-1121
Main Authors: Singla, Ish, MD, Zahid, Maliha, MD, Good, Chester B., MD, MPH, Macioce, Alanna, Sonel, Ali F., MD
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Aged
Anemia
Anemia - complications
Anemia - therapy
Blood transfusions
Cardiology
Cardiovascular
Cause of Death
Clinical outcomes
Coronary Disease - complications
Coronary Disease - therapy
Erythrocyte Transfusion - adverse effects
Erythrocytes
Female
Follow-Up Studies
Heart attacks
Hemoglobins - analysis
Humans
Hypotension - complications
Male
Myocardial Infarction - complications
Myocardial Infarction - therapy
Pulmonary Edema - complications
Recurrence
Registries
Retrospective Studies
Risk Assessment
Syndrome
Treatment Outcome
Troponin I - blood
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Summary:Anemia has been shown to predict adverse events in patients presenting with acute coronary syndromes and non–ST-elevation myocardial infarctions (MIs). Less is known about the value of blood transfusions in this setting. We sought to evaluate the impact of red blood cell transfusions on outcomes. Transfusion in anemic patients admitted with suspected acute coronary syndrome/non–ST-elevation MIs led to a significant increase in 30-day recurrent MI or death (odds ratio 3.05, 95% confidence interval 1.80 to 5.17, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2006.11.056