| Endoscopic diathermy in patients with cardiac pacemakers. | |
| | |
MedLine Citation:
|
PMID: 9746163 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND AND STUDY AIMS: Malfunction of cardiac pacemakers related to diathermy in surgical procedures has been reported, but the risks of endoscopic diathermy in pacemaker patients is unknown. The aim of this study was to investigate current practice amongst British gastroenterologists regarding endoscopy in cardiac pacemaker patients. METHODS: An anonymous postal questionnaire survey of 634 members of the Endoscopy section of the British Society of Gastroenterology was conducted. RESULTS: 410/634 (65%) replied. Respondents conducted 59270 endoscopic retrograde cholangiopancreatography procedures (ERCPs) and 88544 colonoscopies per year. 77.3% of respondents were aware of the possibility of adverse interactions between diathermy and pacemakers. 74.2% enquired whether a pacemaker was present prior to endoscopy. In cases where patients were known to have pacemakers fitted, 23.9% recorded an electrocardiogram (ECG) prior to endoscopic diathermy, 36.2% conducted ECG monitoring during the procedure, 35.9% consulted a cardiologist or pacemaker technician and 13.4% carried out specific preventative measures. 4.1% of all respondents were aware of instances of pacemaker malfunction having occurred during endoscopic diathermy. CONCLUSION: Most gastroenterologists surveyed were aware of the possibility of adverse interactions between diathermy and cardiac pacemakers, but few undertook measures to detect or prevent pacemaker malfunction. Endoscopic diathermy in cardiac pacemaker patients, however, appears generally safe, although the endoscopist should be aware of the small chance of an adverse interaction. |
| | |
Authors:
|
A Veitch; P Fairclough |
Related Documents
:
|
10845733 - Photosensitivity in juvenile myoclonic epilepsy. 6189083 - Dual-chamber committed mode pacing. 10735723 - Occlusion of left coronary artery ostium by an aortic valve cusp. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Endoscopy Volume: 30 ISSN: 0013-726X ISO Abbreviation: Endoscopy Publication Date: 1998 Aug |
Date Detail:
|
Created Date: 1998-11-20 Completed Date: 1998-11-20 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0215166 Medline TA: Endoscopy Country: GERMANY |
Other Details:
|
Languages: eng Pagination: 544-7 Citation Subset: IM |
Affiliation:
|
Digestive Diseases Research Centre, St Bartholomew's and the Royal London School of Medicine and Dentistry, UK. A.M.Veitch@mds.mqw.ac.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cholangiopancreatography, Endoscopic Retrograde Colonoscopy Data Collection Diathermy / adverse effects*, contraindications Electrocardiography Endoscopy* / contraindications Health Knowledge, Attitudes, Practice Humans Pacemaker, Artificial* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The contribution of endoscopy and biopsy to the diagnosis of periampullary tumors.
Next Document: An assessment of local curability of endoscopic surgery in early gastric cancer without satisfaction...