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[Heart rhythm during esophago-gastro-duodenoscopy]
Fortschritte Der Medizin
|November 2, 1978
Summary
Oesophago-gastro-duodenoscopy is safe for the heart and circulatory system, even in patients with heart disease. Continuous ECG monitoring revealed no clinically relevant cardiac dangers during the procedure.
Area of Science:
- Cardiology
- Gastroenterology
- Autonomic Nervous System Physiology
Context:
- Oesophago-gastro-duodenoscopy is a common diagnostic procedure.
- Cardiac function during the procedure requires evaluation, especially in patients with pre-existing heart conditions.
- The influence of the autonomic nervous system on cardiac activity during endoscopy is not fully understood.
Purpose:
- To assess the cardiac and circulatory safety of oesophago-gastro-duodenoscopy.
- To analyze heart rate variability and arrhythmias during the procedure.
- To investigate the role of the autonomic nervous system in cardiac responses during endoscopy.
Summary:
- 157 patients underwent continuous ECG monitoring during oesophago-gastro-duodenoscopy.
- Cardiac behavior was analyzed in 53 patients with heart disease and 104 without.
- Patients received either intravenous or intramuscular premedication (including Atropine).
- No clinically significant cardiac or circulatory dangers were observed during the procedure.
Impact:
- Oesophago-gastro-duodenoscopy can be considered a safe procedure regarding cardiovascular risks.
- Findings support the use of this diagnostic tool in patients with and without heart disease.
- Understanding autonomic nervous system influence may optimize patient management during endoscopic procedures.