Cosentino F, Valadà F, Bosco R, Giuliano M C, Laudani A, Percolla S, Franco S
Minerva Dietol Gastroenterol. 1989 Jan-Mar;35(1):31-4.
Endoscopy of the upper digestive tract with flexible instruments is presently a safe, widely used technique in gastrointestinal pathology. Some cases of changes in cardiac rhythm, ventricular fibrillation, ischaemia and cardiac arrest, have, however, been observed during EGDS. The incidence of arrhythmias during EGDS in 41 patients, monitored during the examination with Holter's ECG, has been observed. The results obtained confirm that EGDS does not bring noteworthy cardiovascular changes sufficient to suspend the examination. The absence of parasympathicomimetic effects makes it possible to consider thyropramide one of the drugs of choice in medication before EGDS.
目前，使用柔性器械进行上消化道内窥镜检查在胃肠病理学中是一种安全且广泛应用的技术。然而，在进行电子胃镜检查（EGDS）期间，已经观察到一些心律变化、心室颤动、缺血和心脏骤停的病例。对41例在EGDS检查期间用动态心电图监测的患者的心律失常发生率进行了观察。所获得的结果证实，EGDS不会引起足以中止检查的显著心血管变化。由于没有拟副交感神经作用，因此可以认为噻丙酰胺是EGDS术前用药的首选药物之一。
