Background: Extracorporeal shock wave
lithotripsy (ESWL), as an initial treatment of kidney
stones, has complications to prevent irritation
of patient’s life. In order to conduct this treatment, it sounds important to understand
its effects.
The
Patients: Three
patients underwent extracorporeal lithotripsy due to renal stone, ventricular
tachycardia incurred during lithotripsy. None of the patients had a history of
heart problems. Electrocardiograph was taken three times, before, during, and
after lithotripsy. The relationship between ESWL related dysrhythmia and
autonomic neural activity was also evaluated by heart rate spectral analysis.
Ventricular tachycardia was observed at 1400 average of the incoming wave
pulse. Arrhythmia itself was off after ESWL was ended.
Conclusion:
The
occurrence of ventricular tachycardia during lithotripsy should be considered
as an important issue and should be studied more carefully to prevent
cardiovascular patients before, during, and after ESWL.
