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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1993-11-23
pubmed:abstractText
To assess the possible dysrhythmogenic effect of cardiovascular autonomic function tests, ECG tracings of 925 consecutive subjects, taken during a battery of cardiovascular autonomic reflex tests were analyzed. The battery included the Valsalva manoeuvre, deep breathing test, orthostatic and isometric handgrip. The frequency of ventricular extrasystoles increased during or after the tests, compared with the resting phase, in 11% of healthy subjects, in 11% of diabetic subjects and in 23% of subjects with a previous myocardial infarction (p = 0.001 vs healthy subjects). In patients with previous myocardial infarction, the most dysrhythmogenic individual tests were orthostatic and isometric handgrip. In nine subjects, other cardiac rhythm disturbances were detected (including nonsustained ventricular tachycardia, conduction block, and atrial fibrillation). In all cases, the dysrhythmias were asymptomatic and resolved without medical intervention. In conclusion, we consider the cardiovascular reflex test battery safe for the patient. However, due to occasional potentially significant dysrhythmias we recommend continuous monitoring of the electrocardiogram and immediate access to resuscitation facilities during cardiovascular autonomic testing.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0959-9851
pubmed:author
pubmed:issnType
Print
pubmed:volume
3
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
183-7
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1993
pubmed:articleTitle
Cardiac dysrhythmias during cardiovascular autonomic reflex tests.
pubmed:affiliation
Social Insurance Institution, Rehabilitation Services, Turku, Finland.
pubmed:publicationType
Journal Article