Albeiruti R, et al. - Researchers used the National Inpatient Sample (2003-2016) to assess the incidence and outcomes of gastrointestinal bleeding (GIB) in patients with ST-elevation myocardial infarction (STEMI). They compared patients with and without GIB with respect to morbidity, mortality, resource utilization, and cost. GIB occurred as a complication in 2.2% of 1,450,696 weighted STEMI hospitalizations examined. The strongest predictors of GIB during STEMI hospitalizations included older age, cardiogenic shock, history of peptic ulcer disease, cirrhosis, anemia, or alcohol use disorder. The investigators noted that, although GIB complicating STEMI is uncommon, it is associated with increased morbidity, mortality, resource utilization, and cost. They also noted a possible link between referral to endoscopy and reduced in-hospital mortality.