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Arrhythmias during upper gastrointestinal endoscopy.

P K Mathew, F V Ona, K Damevski

    Angiology
    |December 1, 1979
    PubMed
    Summary
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    Arrhythmias are common during upper gastrointestinal endoscopy, especially in elderly patients or those with heart or lung disease. Chronic lung disease patients showed a high incidence of arrhythmias, a previously unreported finding.

    Area of Science:

    • Cardiology
    • Gastroenterology
    • Pulmonology

    Background:

    • Arrhythmias are a known complication during endoscopic procedures.
    • The incidence and risk factors for arrhythmias during upper gastrointestinal endoscopy require further investigation, particularly in patients with comorbidities.

    Purpose of the Study:

    • To investigate the incidence of arrhythmias during upper gastrointestinal endoscopy.
    • To identify patient populations at higher risk for developing arrhythmias during this procedure.

    Main Methods:

    • Electrocardiographic monitoring was performed on 52 consecutive patients undergoing upper gastrointestinal endoscopy.
    • Patient data including age, history of heart disease, and chronic lung disease were collected.

    Main Results:

    Related Experiment Videos

    • Overall, 38.5% of patients experienced arrhythmias during the procedure.
    • Higher incidence rates were observed in the elderly (75%), patients with heart disease (54.5%), and those with chronic lung disease (89%).
    • Ventricular premature contractions occurred in 19% of patients without heart or lung disease. One patient with severe chronic lung disease developed high-degree atrioventricular block, necessitating procedure termination.

    Conclusions:

    • Arrhythmias are frequent during upper gastrointestinal endoscopy.
    • Elderly patients and those with pre-existing heart or chronic lung disease are at increased risk.
    • The high incidence of arrhythmias in patients with chronic lung disease during endoscopy is a novel finding requiring attention.