Document Detail


Comparison of the cardiovascular impacts of transnasal versus transoral gastroscopy in the aged patients with or without hypertension.
MedLine Citation:
PMID:  19950831     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: The cardiovascular impacts of gastroscopy in the aged patients are not neglectable, especially for those with hypertension. The aim of this study was to evaluate the different cardiovascular impacts of transnasal and transoral gastroscopy in the aged patients with or without hypertension. METHODS: 120 aged patients (age >65 years) who had gastroscopy indication were recruited. Transnasal or transoral gastroscopy was employed for each subject. Heart rate (HR), blood pressure (BP), blood oxygen saturation (SaO2) and electrocardiogram (ECG) were recorded. RESULTS: In those patients with normal-tension during transoral gastroscopy examination, HR and BP increased and SaO, decreased, about 1/3-1/2 patients exhibited ECG changes of sinus tachycardia, ectopic rhythm and myocardial ischemia. The changes of HR and BP were more marked in those patients with hypertension during transoral gastroscopy examination, and a greater proportion of patients exhibited the above ECG changes. The maximal increment of HR, systolic BP, diastolic BP and SaO2, as well as ECG changes, significantly decreased in those hypertension patients during transnasal gastroscopy compared with those during transoral gastroscopy, and these changes remained similar to those normal-tension patients during transoral gastroscopy examination. CONCLUSIONS: The cardiovascular impacts of transoral gastroscopy in the aged patients are not neglectable, transnasal gastroscopy examination, the cardiovascular impacts of which are smaller, is relatively safe for those aged hypertension patients.
Authors:
Qing Gu; Chengjiao Wu; Liying Gu; Chaohui Yu; Ying Fang; Shuping Cai; Li Youming
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  56     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-12-02     Completed Date:  2009-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1562-5     Citation Subset:  IM    
Affiliation:
Endoscope Center, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310003, China. gu.q@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Blood Pressure*
Electrocardiography
Female
Gastroscopy / methods*
Heart Rate*
Humans
Hypertension / physiopathology*
Male
Oxygen / blood
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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