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Angiology
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Arrhythmias During Upper Gastrointesintal Endoscopy

P.K. Mathew

Department of Medicine, University of Rochester, School of Medicine and Dentistry, and St. Mary's Hospital, Rochester, New York

Fernando V. Ona

Department of Medicine, University of Rochester, School of Medicine and Dentistry, and St. Mary's Hospital, Rochester, New York

Kiril Damevski

Department of Medicine, University of Rochester, School of Medicine and Dentistry, and St. Mary's Hospital, Rochester, New York

Wayne A. Wallace

Department of Medicine, University of Rochester, School of Medicine and Dentistry, and St. Mary's Hospital, Rochester, New York

Electrocardiographic monitoring of 52 consecutive patients undergoing up per gastrointestinal endoscopy revealed that arrhythmias during the procedures were common (38.5%) and tended to occur more frequently in the elderly (75%), in persons with heart disease (54.5%), and in persons with chronic lung disease (89%). The incidence of ventricular premature contractions in patient with no evidence of heart or lung disease was 19%. In one patient with ad vanced chronic lung disease, the procedure had to be terminated because of de velopment of high-degree atrioventricular block. A high incidence of arrhyth mias during endoscopy has not been previously reported in patients with chronic lung disease.

Angiology, Vol. 30, No. 12, 834-840 (1979)
DOI: 10.1177/000331977903001207
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