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  4. Τμήμα Ιατρικής
  5. Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ
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Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/22016
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dc.contributor.authorKounis, N. G.en
dc.contributor.authorZavras, G. M.en
dc.contributor.authorPapadaki, P. J.en
dc.contributor.authorKouni, S. N.en
dc.contributor.authorBatsolaki, M.en
dc.contributor.authorGouvelou-Deligianni, G. V.en
dc.contributor.authorMarkoglou, C.en
dc.contributor.authorGoudevenos, J. A.en
dc.contributor.authorMallioris, C. N.en
dc.contributor.authorKokkinis, C.en
dc.contributor.authorKalokairinou, K.en
dc.contributor.authorGrapsas, N.en
dc.contributor.authorKounis, G. N.en
dc.contributor.authorKoutsojannis, C. M.en
dc.date.accessioned2015-11-24T19:20:11Z-
dc.date.available2015-11-24T19:20:11Z-
dc.identifier.issn0835-7900-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/22016-
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectArrhythmias, Cardiac/epidemiology/etiologyen
dc.subjectBlood Pressureen
dc.subjectCase-Control Studiesen
dc.subject*Cholangiopancreatography, Endoscopic Retrogradeen
dc.subject*Electrocardiographyen
dc.subjectElectrocardiography, Ambulatoryen
dc.subjectFemaleen
dc.subjectHeart Rateen
dc.subjectHumansen
dc.subjectIncidenceen
dc.subjectMaleen
dc.subjectMyocardial Ischemia/epidemiology/etiologyen
dc.subjectOxygen/blooden
dc.titleElectrocardiographic changes in elderly patients during endoscopic retrograde cholangiopancreatographyen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/14532927-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2003-
heal.abstractBACKGROUND: Cardiorespiratory complications may occur during gastrointestinal endoscopy, and elderly people seem to be more vulnerable to these complications during endoscopic procedures involving the manipulation of abdominal viscera. OBJECTIVES: To determine the incidence of cardiac arrhythmias, changes in oxygen saturation, heart rate and blood pressure during endoscopic retrograde cholangiopancreatography (ERCP) via Holter monitoring in elderly patients older than 70 years of age. METHODS: Holter monitoring and 12-lead electrocardiograms were performed in 30 elderly patients undergoing ERCP and in 30 control subjects undergoing routine chest, abdomen, bone and upper gastrointestinal small bowel follow-through studies. A computerized nontriggered template system was used to analyze the electrocardiograms qualitatively and quantitatively. Arrhythmias, cardiac axis, conduction defects, pauses, ST segment changes, ectopic beats, oxygen desaturation and changes in blood pressure and rate-pressure product were evaluated. RESULTS: Increased heart rate, ST segment changes resulting from myocardial ischemia, oxygen desaturation and transient atrial and ventricular ectopic beats were frequent during ERCP compared with the control group. In one patient, transient left bundle branch block developed and this was attributed to pre-existing hypertension with cardiomegaly. One patient developed ventricular tachycardia and one other sinus bradycardia, but this was attributed to sick sinus syndrome. CONCLUSIONS: Transient myocardial ischemia and various cardiac arrhythmias are frequent in elderly patients undergoing ERCP. Appropriate noninvasive monitoring seems to be justified during this procedure.en
heal.journalNameCan J Gastroenterolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
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