| Arrhythmia during extracorporeal shock wave lithotripsy. | |
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MedLine Citation:
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PMID: 8435716 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A prospective study of arrhythmia during extracorporeal shock wave lithotripsy (ESWL) was performed in 50 patients, using an EDAP LT01 piezoelectric lithotriptor. The 12-lead standard ECG was recorded continuously for 10 min before and during treatment. One or more atrial and/or ventricular ectopic beats occurred during ESWL in 15 cases (30%). The occurrence of arrhythmia was similar during right-sided and left-sided treatment. One patient developed multifocal ventricular premature beats and ventricular bigeminy; another had cardiac arrest for 13.5 s. It was found that various irregularities of the heart rhythm can be caused even by treatment with a lithotriptor using piezoelectric energy to create the shock wave. No evidence was found, however, that the shock wave itself rather than vagal activation and the action of sedo-analgesia was the cause of the arrhythmia. For patients with severe underlying heart disease and a history of complex arrhythmia, we suggest that the ECG be monitored during treatment. In other cases, we have found continuous monitoring of oxygen saturation and pulse rate with a pulse oximeter to be perfectly reliable for raising the alarm when depression of respiration and vaso-vagal reactions occur. |
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Authors:
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Z R Zeng; E Lindstedt; A Roijer; S B Olsson |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: British journal of urology Volume: 71 ISSN: 0007-1331 ISO Abbreviation: Br J Urol Publication Date: 1993 Jan |
Date Detail:
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Created Date: 1993-03-24 Completed Date: 1993-03-24 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 15740090R Medline TA: Br J Urol Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 10-6 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Shanghai No. 6 People's Hospital, China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Arrhythmias, Cardiac / etiology* Bradycardia / etiology Electrocardiography Female Humans Kidney Calculi / therapy Lithotripsy / adverse effects* Male Middle Aged Prospective Studies Tachycardia, Sinus / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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