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[Cardiovascular complications of gastroenterologic endoscopy]
R Grossmann1, G Börsch, D Ricken
1Medizinische Klinik Ruhr-Universität Bochum am St.-Josef-Hospital.
Leber, Magen, Darm
|December 1, 1987
Summary
Cardiovascular complications from upper GI endoscopies are rare, with low lethality. Sinus tachycardia is common, potentially linked to premedication, but severe events are infrequent in these procedures.
Area of Science:
- Gastroenterology
- Cardiology
- Medical Procedures
Context:
- Upper gastrointestinal (GI) endoscopies carry a low but present risk of cardiovascular complications.
- Understanding these risks is crucial for patient safety and procedural planning.
Purpose:
- To analyze the incidence and nature of cardiovascular complications associated with upper GI endoscopies.
- To identify potential risk factors and common findings during these procedures.
Summary:
- Cardiovascular complication rates for upper GI endoscopies range from 0.009% to 0.4%, with lethality between 0.005% and 0.07%.
- Sinus tachycardia is the most frequent finding, often linked to vagolytic premedication, potentially increasing myocardial ischemia risk.
- Electrocardiographic ST-T segment alterations occur in up to 46% of patients; severe arrhythmias are rare.
- Colonoscopy and laparoscopy present even lower cardiovascular risks compared to gastroscopy.
- Advanced age, severe coronary heart disease, and cor pulmonale are indicators for high-risk patient identification.
Impact:
- Provides essential data for risk stratification in patients undergoing GI endoscopy.
- Informs clinical practice regarding premedication and patient monitoring during endoscopic procedures.
- Highlights the generally low cardiovascular risk profile of common GI endoscopic interventions.