doi:

DOI: 10.3724/SP.J.1264.2011.00013

Chinese Journal of Multiple Organ Diseases in the Elderly (中华老年多器官疾病杂志) 2011/10:4 PP.337-339

Gastroscopy under electrocardiographic monitoring for elderly patients with coronary heart disease


Abstract:
Objective To assess the safety of esophageal and gastric endoscopy for elderly patients with coronary heart disease(CHD) by monitoring the changes of their vital signs during operation process. Methods A total of 60 patients over 60 years old accepting esophageal and gastric endoscopy were divided into CHD group(with mild ST-T change or history of angina or old myocardial infarction but without respiratory diseases) and control group(without heart diseases), with 30 in each group. The heart rate, blood pressure, oxygen saturation(SpO2) and electrocardiogram during performance of esophageal and gastric endoscopy were compared between the two groups. Results Heart rate was significantly increased during operation in both groups(P<0.05=, and the variation in CHD group was greater than that in control group(P<0.05=. Blood pressure was also increased in both groups(P<0.05= and there was no significant difference between two groups(P>0.05). SpO2 was significantly decreased in CHD group(P<0.05= during operation but with no significant difference compared with control group(P>0.05). Arrhythmia, but no dangerous arrhythmia, occurred in both groups during operation. In addition, there were 6 cases with ST-T changes in CHD group and all cases recovered to normal after operation. Conclusion With full preparation before operation and electrocardiographic monitoring if necessary during operation, esophageal and gastric endoscopy is safe for elderly patients with CHD.

Key words:elderly,coronary heart disease,gastroscopy,monitoring

ReleaseDate:2014-07-21 15:56:21



[1] Ross R, Newton JL. Heart rate and blood pressure changes during gastroscopy in healthy older subjects[J]. Gerontology, 2004, 50(3): 182-186.

[2] Barkin JS, Krieger B, Blinder M, et al. Oxygen desaturation and changes in breathing pattern in patients un-dergoing colonoscopy and gastroscopy[J]. Gastrointest En-dosc, 1989, 36(6): 526-530.

[3] 李 红. 胃镜对老年患者心电图变化影响的临床分析[J]. 首都医药, 2010, 17(10): 33.

[4] 刘雪梅, 王 翡. 胃镜普查对40岁以上中老年人的诊断价值[J]. 当代医学. 2010, 16(13): 69-70.

[5] 黄诗良, 孟祥中, 唐有为, 等. 312例80岁以上老年患者胃镜检查结果分析[J]. 江西医药, 2008, 43(4): 318-319.

[6] 陈建荣, 郭锡明. 胃镜检查中应激反应的影响因素及预防[J].中国内镜杂志, 2008, 14(3): 251-253.

[7] Wang CY, Ling LC, Cardosa MS, et al. Hypoxia during upper gastrointestinal endoscopy with and without sedation and the effect of pre-oxygenation on oxygen saturation[J]. Anaesthesia, 2000, 55(7): 654-658.

[8] 宋 剑, 赵 逵, 史济经, 等. 连续低流量吸氧对胃镜受检者血氧饱和度的影响[J]. 中华消化内镜杂志, 2000, 17(1): 57-58.

[9] Yazawa K, Adachi W, Koide N, et al. Changes in cardiopulmonary parameters during upper gastrointestinal endoscopy in patients with heart disease: towards safer en-doscopy[J]. Endoscopy, 2000, 32(4): 287-293.

[10] Seinela L, Reinikainen P, Ahvenainen J. Effect of upper gastrointestinal endoscopy on cardiopulmonary changes in very old patients[J]. Arch Gerontol Geriatr, 2003, 37(1): 25-32.

PDF