Related Experiment Videos
[Cardiac arrhythmias during extracorporeal shock wave lithotripsy]
R Ochotny1, P Mitkowski, W Woźniak
1I Kliniki Kardiologii Instytutu Kardiologii, Akademii Medycznej im. K. Marcinkowskiego, Poznaniu.
Insights
Extracorporeal shock wave lithotripsy (ESWL) may increase heart rate and premature ventricular contractions in patients with cardiac history. Holter monitoring revealed these cardiac effects during ESWL procedures.
Area of Science:
- Cardiology
- Nephrology
- Medical Engineering
Context:
- Extracorporeal shock wave lithotripsy (ESWL) is a common procedure for kidney stone removal.
- ECG-triggered ESWL is used to minimize cardiac risk.
- Patients with pre-existing cardiac conditions may have different responses to ESWL.
Purpose:
- To evaluate the cardiac effects of ECG-triggered ESWL in patients with and without a history of cardiac disease.
- To compare heart rate and the incidence of arrhythmias between the two groups during and after ESWL.
Summary:
- Holter monitoring was conducted on 55 patients undergoing ECG-triggered ESWL, divided into a cardiac history group (n=30) and a control group (n=25).
- The cardiac history group exhibited significantly higher heart rates before and after ESWL.
- This group also showed an increased number of premature ventricular contractions during ESWL, with no other cardiac complications noted.
Impact:
- This study highlights potential cardiac risks associated with ESWL in patients with cardiac disease.
- Findings suggest closer cardiac monitoring may be warranted for these patients during ESWL.
- Further research could explore specific management strategies to mitigate these cardiac effects.
Abstract:
Holter monitoring was performed in 55 patients (24 women, 31 men), mean age 50.7 +/- 11.3 who underwent ECG-triggered extracorporeal shock wave lithotripsy (ESWL). Patients were divided into two groups A--30 with history of cardiac disease and B--25 control. The heart rate was significantly higher before and after ESWL in the first group. The number of premature ventricular contractions was higher during ESWL in the same group. No other cardiac complication was observed.