Predictive factors and mechanism of arrhythmias and myocardial ischaemic changes in elderly patients during barium enema

C. B. Higgins, W. R. Roeske, J. S. Karliner, R. O'Rourke, R. N. Berk

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

The incidence of significant arrhythmias and ST segment changes during barium enema examination (BE) was evaluated by Holter monitoring of 58 unselected patients over the age of 60 years. Forty percent of the group developed new significant arrhythmias of which the most common were frequent and/or multifocal premature ventricular contractions. Seven percent demonstrated ST segment depression. Administration of glucagon did not diminish the incidence of arrhythmias. Predictive factors for ECG abnormalities were advancing age, abnormal pre BE ECG, and pre BE orthostatic hypotension. Analysis of arrhythmias and response to physiologic manoeuvres suggested that the abnormalities were related to increased sympathetic tone which may be intensified by hypovolaemia resulting from routine bowel preparation.

Original languageEnglish (US)
Pages (from-to)1023-1027
Number of pages5
JournalUnknown Journal
Volume49
Issue number588
DOIs
StatePublished - Jan 1 1976
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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