Wierzbicka-Paczos E
Przegl Lek. 1989;46(5):451-4.
Continuous++ electrocardiographic monitoring was performed before, during and after endoscopy on 203 patients undergoing upper gastrointestinal endoscopy. Significant increase of cardiac arrhythmias during fiberoscopy (on 49,83% of the examined patients) was noted. The most common were: tachycardia over 120 beats per minute, ventricular and supraventricular premature beats and ischemic changes in the heart. These changes were increasing in the majority of the examined patients. However, much more of them were observed in patients with coexisting cardiovascular diseases. The research showed that the premedication influences the increase of cardiac arrhythmias and ischemic changes during panendoscopy, mainly with patients with coexisting cardiovascular diseases. The largert number of cardiac arrhythmias appeared during the introduction of the endoscope into the throut and the esophagus.
对203例接受上消化道内镜检查的患者在内镜检查前、检查期间和检查后进行了连续心电图监测。观察到在纤维内镜检查期间（49.83%的受检患者）心律失常显著增加。最常见的有：每分钟超过120次的心动过速、室性和室上性早搏以及心脏缺血性改变。在大多数受检患者中，这些改变在增加。然而，在合并心血管疾病的患者中观察到的此类改变更多。研究表明，术前用药会影响全内镜检查期间心律失常和缺血性改变的增加，主要是在合并心血管疾病的患者中。在内镜插入咽喉和食管期间出现的心律失常数量更多。
