Document Detail

Arrhythmia during extracorporeal shock wave lithotripsy.
MedLine Citation:
PMID:  8435716     Owner:  NLM     Status:  MEDLINE    
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.
Z R Zeng; E Lindstedt; A Roijer; S B Olsson
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of urology     Volume:  71     ISSN:  0007-1331     ISO Abbreviation:  Br J Urol     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-03-24     Completed Date:  1993-03-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15740090R     Medline TA:  Br J Urol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  10-6     Citation Subset:  IM    
Department of Cardiology, Shanghai No. 6 People's Hospital, China.
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MeSH Terms
Arrhythmias, Cardiac / etiology*
Bradycardia / etiology
Kidney Calculi / therapy
Lithotripsy / adverse effects*
Middle Aged
Prospective Studies
Tachycardia, Sinus / etiology

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