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[Arrhythmia during endoscopy of the upper gastrointestinal tract]
Insights
Continuous electrocardiographic monitoring during upper gastrointestinal endoscopy revealed a significant increase in cardiac arrhythmias, particularly tachycardia and premature beats, in nearly half of patients. These cardiac events were more pronounced in patients with pre-existing cardiovascular diseases and those receiving premedication.
Area of Science:
- Cardiology
- Gastroenterology
Context:
- Upper gastrointestinal endoscopy is a common procedure.
- Monitoring cardiac activity during endoscopy is crucial for patient safety.
Purpose:
- To assess the incidence and types of cardiac arrhythmias during upper gastrointestinal endoscopy.
- To identify factors influencing cardiac events, such as patient comorbidities and premedication.
Summary:
- Continuous electrocardiographic monitoring was performed on 203 patients undergoing upper gastrointestinal endoscopy.
- A significant increase in cardiac arrhythmias (49.83%) was observed during the procedure, including tachycardia, premature beats, and ischemic changes.
- These cardiac events were more frequent in patients with cardiovascular diseases and were influenced by premedication, with the highest incidence during endoscope insertion.
Impact:
- Highlights the risk of cardiac arrhythmias during upper gastrointestinal endoscopy.
- Underscores the importance of careful patient selection and monitoring, especially for those with cardiovascular conditions.
- Suggests that premedication may exacerbate cardiac risks in susceptible patients.
Abstract:
Continuous++ electrocardiographic monitoring was performed before, during and after endoscopy on 203 patients undergoing upper gastrointestinal endoscopy. Significant increase of cardiac arrhythmias during fiberoscopy (on 49,83% of the examined patients) was noted. The most common were: tachycardia over 120 beats per minute, ventricular and supraventricular premature beats and ischemic changes in the heart. These changes were increasing in the majority of the examined patients. However, much more of them were observed in patients with coexisting cardiovascular diseases. The research showed that the premedication influences the increase of cardiac arrhythmias and ischemic changes during panendoscopy, mainly with patients with coexisting cardiovascular diseases. The largert number of cardiac arrhythmias appeared during the introduction of the endoscope into the throut and the esophagus.