Grossmann R, Börsch G, Ricken D
Medizinische Klinik Ruhr-Universität Bochum am St.-Josef-Hospital.
Leber Magen Darm. 1987 Dec;17(6):371-80.
Upper gastrointestinal (GI) tract endoscopies are associated with a cardiovascular complication rate of 0.009% to 0.4%, which may be considered rare events. The endoscopy-associated lethality due to cardiovascular accidents ranges from 0.005% to 0.07%. Sinus tachycardia represents the most frequent cardiovascular finding, and vagolytic premedication often plays a causal role. Such accelerated heart rates may predispose to myocardial ischemia due to an augmented cardiac work load. Electrocardiographic alterations of the ST-T segment have been observed in 4% to 46% of upper GI tract endoscopy patients. Severe arrhythmias are rare phenomena. The cardiovascular risk of colonoscopy and laparoscopy appears to be even smaller as compared to gastroscopy. Advanced age, severe coronary heart disease and cor pulmonale may be useful indicants to identify a high risk patient subgroup.
上消化道内镜检查的心血管并发症发生率为0.009%至0.4%，可视为罕见事件。因心血管意外导致的内镜检查相关致死率为0.005%至0.07%。窦性心动过速是最常见的心血管表现，抗胆碱能药物预处理常起因果作用。这种心率加快可能因心脏工作负荷增加而导致心肌缺血。4%至46%的上消化道内镜检查患者出现过ST段心电图改变。严重心律失常较为罕见。与胃镜检查相比，结肠镜检查和腹腔镜检查的心血管风险似乎更小。高龄、严重冠心病和肺心病可能是识别高危患者亚组的有用指标。
