Greenstein A, Kaver I, Lechtman V, Braf Z
Department of Urology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Israel.
J Urol. 1995 Oct;154(4):1321-2.
We evaluated the occurrence of cardiac arrhythmias during nonsynchronized extracorporeal shock wave lithotripsy.
A total of 125 nonsynchronized shock wave lithotripsy treatments was performed using a spark plug lithotriptor.
Asymptomatic unifocal ventricular premature contractions occurred during 23 treatments (18.4%) and were more frequent during therapy on the right side (p < 0.05). Among patients undergoing multiple sessions only 1 exhibited ventricular premature contractions during treatment. No correlation was demonstrated between ventricular premature contractions and patient age, gender, presence of heart disease, stone size and location within the collecting system (kidney or ureter), presence of a ureteral catheter or nephrostomy tube, mode of anesthesia or number of shock waves.
Nonsynchronized shock wave lithotripsy can be accomplished safely in most patients.
我们评估了非同步体外冲击波碎石术中心律失常的发生情况。
使用火花塞式碎石机进行了总共125次非同步冲击波碎石治疗。
23次治疗（18.4%）期间出现无症状单灶性室性早搏，右侧治疗时更频繁（p<0.05）。在接受多次治疗的患者中，只有1例在治疗期间出现室性早搏。未发现室性早搏与患者年龄、性别、心脏病史、结石大小及在集合系统（肾脏或输尿管）中的位置、输尿管导管或肾造瘘管的存在、麻醉方式或冲击波次数之间存在相关性。
大多数患者可安全地完成非同步冲击波碎石术。
