CARDIAC-ARRHYTHMIAS DURING NONSYNCHRONIZED EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY

被引:17
作者
GREENSTEIN, A [1 ]
KAVER, I [1 ]
LECHTMAN, V [1 ]
BRAF, Z [1 ]
机构
[1] SACKLER FAC MED,TEL AVIV SOURASKY MED CTR,DEPT ANESTHESIOL,TEL AVIV,ISRAEL
关键词
EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY; ARRHYTHMIA; KIDNEY CALCULI; URETERAL CALCULI; HEART;
D O I
10.1016/S0022-5347(01)66847-2
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We evaluated the occurrence of cardiac arrhythmias during nonsynchronized extracorporeal shock wave lithotripsy. Materials and Methods: A total of 125 nonsynchronized shock wave lithotripsy treatments was performed using a spark plug lithotriptor. Results: Asymptomatic unifocal ventricular premature contractions occurred during 23 treatments (18.4%) and were more frequent during therapy on the right side (p <0.05). Among patients undergoing multiple sessions only 1 exhibited ventricular premature contractions during treatment. No correlation was demonstrated between ventricular premature contractions and patient age, gender, presence of heart disease, stone size and location within the collecting system (kidney or ureter), presence of a ureteral catheter or nephrostomy tube, mode of anesthesia or number of shock waves. Conclusions: Nonsynchronized shock wave lithotripsy can be accomplished safely in most patients.
引用
收藏
页码:1321 / 1322
页数:2
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