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[Arrhythmia during endoscopic retrograde cholangiopancreatography (ERCP) and colonoscopy]
Insights
This study found that both endoscopic retrograde cholangiopancreatography (ERCP) and colonoscopy significantly increase cardiac rhythm disorders, with over 70% of patients experiencing arrhythmias like sinus tachycardia and extrasystoles during these procedures.
Area of Science:
- Cardiology
- Gastroenterology
- Medical Devices
Context:
- Endoscopic retrograde cholangiopancreatography (ERCP) and colonoscopy are common gastrointestinal procedures.
- Cardiac rhythm disorders can be a concern during invasive medical examinations.
- Previous research has explored cardiac changes during panendoscopy.
Purpose:
- To determine the frequency and type of cardiac rhythm disorders during ERCP and colonoscopy.
- To investigate the correlation between these disorders and pre-existing circulatory diseases.
- To compare the incidence of electrocardiogram (EKG) changes during ERCP and colonoscopy with those during panendoscopy.
Summary:
- Electrocardiography (EKG) monitoring using the Oxford Medilog System was conducted on 51 patients undergoing ERCP and 33 patients undergoing colonoscopy.
- Premedication protocols for ERCP included lignocaine, morphine, and atropine sulfate, while colonoscopy patients received diazepam and noramidopyrin.
- A significant increase in cardiac rhythm disorders was observed in 70% of ERCP patients and 70.9% of colonoscopy patients, with sinus tachycardia and extrasystoles being most frequent.
Impact:
- The findings highlight a high prevalence of cardiac rhythm disturbances during ERCP and colonoscopy, irrespective of coexisting circulatory conditions.
- This underscores the importance of cardiac monitoring during these endoscopic procedures.
- The results provide valuable data for risk assessment and patient management in gastroenterological endoscopy.
Abstract:
A group of 51 patients undergoing ERCP and 33 patients undergoing colonoscopy underwent additionally electrocardiography (ekg) by Holter method so as to define the frequency and character of rhythm disorders during the above examinations and the correlation between those disorders and coexisting circulatory system diseases. Besides, the author compared the percentage of ckg changes observed during ERCP and colonoscopy with the changes found during panendoscopy (described in the previous paper). Ekg monitoring by means of Oxford Medilog System apparatus started half an hour before fibroscopy and continued up to half an hour after the examination. In the ERCP premedication, just before endoscopy, the author made 2-3 spraying of 10% of lignocaine solution on the pharynx mucosa and half an hour earlier s.c. 10 mg of morphine with 1 mg of atropin sulphate. Patients undergoing colonoscopy were given (half an hour before the examination) 10 mg of diazepam with 20 mg noramidopyrin. The percentage of patients with circulatory system diseases was in the two groups similar and amounted to 31.4% (ERCP) and 33.3% (colonoscopy). In the statistical analysis the author used chi-square test, difference test, analysis of variances and standardization of the results by means of the direct method. The examinations made showed a significant increase in cardiac rhythm disorders during ERCP (in 70% of patients) and colonoscopy (in 70.9% of patients). During the examinations, the most frequent disorders were sinus tachycardia above 120/min., ventricular and supraventricular extrasystoles.(ABSTRACT TRUNCATED AT 250 WORDS)