贲门失弛缓症球囊扩张术中的连续心电图监测

Continuous electrocardiographic monitoring during balloon dilatation in achalasia.

作者信息

Sorohan A, Balan G, Daniil C, Solomon M, Creţu M, Stanciu C

出版信息

Rev Med Chir Soc Med Nat Iasi. 1989 Jan-Mar;93(1):71-2.

Abstract

Electrocardiographic (ECG) changes in nine patients under continuous ECG monitoring before, during and after balloon dilatation for achalasia were followed; of these, three had ischaemic heart disease (IHD). One or several abnormalities including sinus tachycardia, supraventricular or ventricular ectopic beats, S-T segment depression and T-wave flattening appeared during the procedure; these were more commonly found in patients with IHD. Despite the high incidence of recorded ECG abnormalities, these were transient, and no treatment was needed. However, it seems advisable to have resuscitation equipment and emergency drugs available during balloon dilatation for achalasia, particularly when this procedure is performed in patients with IHD.

摘要

对9例贲门失弛缓症患者在球囊扩张术前、术中和术后进行连续心电图监测，观察心电图（ECG）变化；其中3例患有缺血性心脏病（IHD）。术中出现了一种或几种异常，包括窦性心动过速、室上性或室性异位搏动、S-T段压低和T波低平；这些在患有缺血性心脏病的患者中更常见。尽管记录到的心电图异常发生率很高，但这些都是短暂的，无需治疗。然而，在贲门失弛缓症球囊扩张期间，尤其是在患有缺血性心脏病的患者中进行该手术时，配备复苏设备和急救药物似乎是明智的。