Błaszyk K, Baszko A, Ochotny R, Pyda P
I Kliniki Kardiologii Instytutu Kardiologii AM im. K. Marcinkowskiego w Poznaniu.
Kardiol Pol. 1990;33(8):8-12.
The aim of the study was an evaluation of ECG changes during endoscopy. In 57 hospitalized patients (34 female, 18 male, mean age 54) who had gastroscopy (n = 23), endoscopic retro-cholangiopancreatography (ERCP) (n = 17) or colonoscopy (n = 17) two hours before and two hours after the examination, an ECG monitoring by Holter method was done. The patients also filled a questionnaire to measure their level of anxiety. Arrhythmias and ST depression/elevation were seen in 37 (65%) patients during endoscopy. In 12% complex arrhythmias (III, IV A and IV B type Lown) were recorded. Complex arrhythmias and/or horizontal ST depression greater than 1 mm were observed more frequently (p less than 0.01) in the group of patients with clinically evident diseases of the cardiovascular system; this group was older than the group without cardiac symptoms. There was no correlation between ECG changes and the level of anxiety before the examination. During ERCP ECG changes were more complex than during colonoscopy (p less than 0.01) or gastroscopy (p less than 0.05).
本研究的目的是评估内镜检查期间的心电图变化。对57例住院患者（34例女性，18例男性，平均年龄54岁）进行了研究，这些患者在接受胃镜检查（n = 23）、内镜逆行胰胆管造影（ERCP）（n = 17）或结肠镜检查（n = 17）前两小时及检查后两小时，采用动态心电图监测方法进行心电图监测。患者还填写了一份问卷以测量其焦虑程度。在内镜检查期间，37例（65%）患者出现心律失常和ST段压低/抬高。记录到12%的患者出现复杂心律失常（Lown III、IV A和IV B型）。在有心血管系统临床明显疾病的患者组中，复杂心律失常和/或水平ST段压低大于1mm的情况更频繁出现（p < 0.01）；该组患者比无心脏症状的组年龄更大。检查前心电图变化与焦虑程度之间无相关性。在ERCP期间，心电图变化比结肠镜检查期间（p < 0.01）或胃镜检查期间（p < 0.05）更复杂。
