Zmiany parametrów elektrokardiograficznych i echokardiograficznych

Abstract

It is widely known, that gallbladder (GB) disorders are accompanied by heart changes, but electrocardiographic (ECG) and echocardiographic (EchoCG) alterations still remain unestablished. This fact determines the importance of our work. Its aim was to investigate ECG and EchoCG changes in dependence of GB condition in patients with ischaemic heart disease (IHD), who underwent coronary bypass surgery (CBS). We have analysed the data of 98 patients (mean age 61.7 ± 1.6 years), which were grouped in dependence of GB condition. Intact GB was revealed only in 29.6% patients; biliary sludge and GB cholesterosis — in 13.3%, bent GB body — in 13.3%, GB neck deformations — in 27.5%, cholelithiasis — in 11.2%, previous cholecystectomy — in 5.1%. Analysed ECG and EchoCG parameters of IHD patients, who underwent CBS, were dependent from GB condition. Patients with sludge differed by absence of conduction disorders, the most often scars on ECG, alterations of aortal valve (61.5%) and left ventricle hypokinesias (92.3%), which were accompanied by minimal ejection fraction among all the groups (45%). Patients with bent GB body often had mitral valve changes (76.9%), maximal size of left ventricle among all the groups (4.04 cm) and decreased ejection fraction (52.7%). GB neck deformations were accompanied by left ventricle hypertrophy (100%), ST depression (55.5%) and ejection fraction decrease (52.67%). Patients with IHD and cholelithiasis were characterised by tendency to ST interval depressions (63.6%), tachycardia (84.2 bpm), the most often alterations of rhythm (36.4%) and conduction (45.4%), maximal sizes of aorta and interventricular septum.