Triandaf I, Stanciu C, Solomon M, Grauer M, Untu A
Med Interne. 1978 Jan-Mar;16(1):43-5.
ECG changes were followed up in 69 patients under continuous electrocardiographic monitoring before, during and after esophago-gastro-duodenoscopy (EGD). Of these 32 (46.5%) had ischemic heart disease (IHD). One or more varied abnormalities including supraventricular or ventricular ectopic beats, sinus tachycardia or sinus bradycardia, intermittent right or left bundle branch block, S--T segment depression (and increased preexisting S--T segment depression), T wave flattening or inversion appeared during EGD. Only one patient with IHD developed anginal chest pain during endoscopy. Despite the high incidence of recorded rhythm abnormalities, these were transient, and no treatments were needed. However, it seems advisable to have resuscitation equipment and emergency drugs available during EGD, particularly when it is performed in patients with IHD.
在69例接受食管-胃-十二指肠镜检查（EGD）前、检查期间及检查后的连续心电图监测的患者中，对心电图变化进行了随访。其中32例（46.5%）患有缺血性心脏病（IHD）。在EGD期间出现了一种或多种不同的异常情况，包括室上性或室性异位搏动、窦性心动过速或窦性心动过缓、间歇性右束支或左束支传导阻滞、S-T段压低（以及原有S-T段压低加重）、T波低平或倒置。只有1例IHD患者在内镜检查期间出现心绞痛。尽管记录到的心律失常发生率很高，但这些都是短暂的，无需治疗。然而，在EGD期间配备复苏设备和急救药物似乎是可取的，特别是在对IHD患者进行检查时。
