Cardiac arrhythmias and electrocardiographic changes during upper and lower gastrointestinal endoscopy.
Ninety-two patients undergoing upper and lower gastrointestinal endoscopy were monitored with holter recording for electrocardiographic changes during the procedures. The electrocardiographic changes were seen in 20.6% of the patients. These included cardiac arrhythmias in 16.2% and ischemic ST-T changes in 4.4% of the patients. The incidence of these changes was more in patients with cardiac (36%) or pulmonary disease (25%) than in patients with no clinical cardiac or pulmonary problem (16%). The patients with baseline electrocardiographic abnormalities also showed higher incidence of such electrocardiographic changes during the endoscopic procedures when compared with patients with normal baseline electrocardiograms (32% vs. 16%).
Gupta
S C
SC
Department of Medicine, Wright State University School of Medicine, Dayton, Ohio.
Gopalswamy
N
N
Sarkar
A
A
Suryaprasad
A G
AG
Markert
R J
RJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001145:Arrhythmias, Cardiac / Q000209:etiology*; D003113:Colonoscopy / Q000009:adverse effects; D004384:Duodenoscopy / Q000009:adverse effects; D004562:Electrocardiography; D004724:Endoscopy / Q000009:adverse effects*; D004945:Esophagoscopy / Q000009:adverse effects; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis; D005773:Gastroscopy / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged