[Arrhythmia during endoscopic retrograde cholangiopancreatography (ERCP) and colonoscopy].
A group of 51 patients undergoing ERCP and 33 patients undergoing colonoscopy underwent additionally electrocardiography (ekg) by Holter method so as to define the frequency and character of rhythm disorders during the above examinations and the correlation between those disorders and coexisting circulatory system diseases. Besides, the author compared the percentage of ckg changes observed during ERCP and colonoscopy with the changes found during panendoscopy (described in the previous paper). Ekg monitoring by means of Oxford Medilog System apparatus started half an hour before fibroscopy and continued up to half an hour after the examination. In the ERCP premedication, just before endoscopy, the author made 2-3 spraying of 10% of lignocaine solution on the pharynx mucosa and half an hour earlier s.c. 10 mg of morphine with 1 mg of atropin sulphate. Patients undergoing colonoscopy were given (half an hour before the examination) 10 mg of diazepam with 20 mg noramidopyrin. The percentage of patients with circulatory system diseases was in the two groups similar and amounted to 31.4% (ERCP) and 33.3% (colonoscopy). In the statistical analysis the author used chi-square test, difference test, analysis of variances and standardization of the results by means of the direct method. The examinations made showed a significant increase in cardiac rhythm disorders during ERCP (in 70% of patients) and colonoscopy (in 70.9% of patients). During the examinations, the most frequent disorders were sinus tachycardia above 120/min., ventricular and supraventricular extrasystoles.(ABSTRACT TRUNCATED AT 250 WORDS)
Wierzbicka-Paczos
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D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000209:etiology*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D003113:Colonoscopy / Q000009:adverse effects*; D004562:Electrocardiography; D015716:Electrocardiography, Ambulatory; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged
Zaburzenia rytmu serca podczas endoskopowej cholangiopankreatografii wstecznej (ECPW) i kolonoskopii.