Using the Cardiac–Electrophysiological Balance Index to Predict Arrhythmia Risk After Colonoscopy
<i>Background and Objectives:</i> Colorectal cancer is the second leading cause of cancer-related deaths in the U.S., and colonoscopy is a critical tool for colon cancer screening and diagnosis. Electrolyte disturbances and autonomic nervous system dysfunction that may occur due to bowel...
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MDPI AG
2024-12-01
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| author | Seyit Ali Volkan Polatkan Seyda Gunay-Polatkan Ozgen Isik Deniz Sigirli |
| author_facet | Seyit Ali Volkan Polatkan Seyda Gunay-Polatkan Ozgen Isik Deniz Sigirli |
| author_sort | Seyit Ali Volkan Polatkan |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> Colorectal cancer is the second leading cause of cancer-related deaths in the U.S., and colonoscopy is a critical tool for colon cancer screening and diagnosis. Electrolyte disturbances and autonomic nervous system dysfunction that may occur due to bowel preparation and the colonoscopy procedure itself may play a role in the development of cardiac arrhythmia. This study aimed to assess the index of cardiac–electrophysiological balance (iCEB) to predict ventricular arrhythmia risk related to colonoscopy. <i>Materials and Methods:</i> Patients undergoing elective colonoscopy with a normal sinus rhythm were included. Electrocardiography (ECG) recordings both before bowel preparation and after the colonoscopy procedure were obtained. Values of the index of cardiac–electrophysiological balance (iCEB) were compared. <i>Results:</i> Among 36 patients, it was determined that the heart rate values of the patients before bowel preparation were higher than the heart rate values after colonoscopy [74.5 (60–108) bpm vs. 68.5 (53–108) bpm, <i>p</i> = 0.021]. The duration of QT interval increased (370.9 ± 27.8 ms vs. 398.7 ± 29.4 ms, <i>p</i> < 0.001) and the iCEB increased from 4.1 ± 0.5 to 4.5 ± 0.6 (<i>p</i> < 0.001), indicating a significant post-procedural risk of ventricular arrhythmias. <i>Conclusions:</i> These findings suggest that routine iCEB assessment post-colonoscopy could identify high-risk patients requiring closer monitoring. |
| format | Article |
| id | doaj-art-7f480bc9474844eca473781b10bc2138 |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj-art-7f480bc9474844eca473781b10bc21382025-01-24T13:40:15ZengMDPI AGMedicina1010-660X1648-91442024-12-016111310.3390/medicina61010013Using the Cardiac–Electrophysiological Balance Index to Predict Arrhythmia Risk After ColonoscopySeyit Ali Volkan Polatkan0Seyda Gunay-Polatkan1Ozgen Isik2Deniz Sigirli3Department of General Surgery, Faculty of Medicine, Bursa Uludag University, 16059 Bursa, TurkeyDepartment of Cardiology, Faculty of Medicine, Bursa Uludag University, 16059 Bursa, TurkeyDepartment of General Surgery, Faculty of Medicine, Bursa Uludag University, 16059 Bursa, TurkeyDepartment of Biostatistics, Faculty of Medicine, Bursa Uludag University, 16059 Bursa, Turkey<i>Background and Objectives:</i> Colorectal cancer is the second leading cause of cancer-related deaths in the U.S., and colonoscopy is a critical tool for colon cancer screening and diagnosis. Electrolyte disturbances and autonomic nervous system dysfunction that may occur due to bowel preparation and the colonoscopy procedure itself may play a role in the development of cardiac arrhythmia. This study aimed to assess the index of cardiac–electrophysiological balance (iCEB) to predict ventricular arrhythmia risk related to colonoscopy. <i>Materials and Methods:</i> Patients undergoing elective colonoscopy with a normal sinus rhythm were included. Electrocardiography (ECG) recordings both before bowel preparation and after the colonoscopy procedure were obtained. Values of the index of cardiac–electrophysiological balance (iCEB) were compared. <i>Results:</i> Among 36 patients, it was determined that the heart rate values of the patients before bowel preparation were higher than the heart rate values after colonoscopy [74.5 (60–108) bpm vs. 68.5 (53–108) bpm, <i>p</i> = 0.021]. The duration of QT interval increased (370.9 ± 27.8 ms vs. 398.7 ± 29.4 ms, <i>p</i> < 0.001) and the iCEB increased from 4.1 ± 0.5 to 4.5 ± 0.6 (<i>p</i> < 0.001), indicating a significant post-procedural risk of ventricular arrhythmias. <i>Conclusions:</i> These findings suggest that routine iCEB assessment post-colonoscopy could identify high-risk patients requiring closer monitoring.https://www.mdpi.com/1648-9144/61/1/13colonoscopybowel preparationarrhythmiaheartelectrolyte |
| spellingShingle | Seyit Ali Volkan Polatkan Seyda Gunay-Polatkan Ozgen Isik Deniz Sigirli Using the Cardiac–Electrophysiological Balance Index to Predict Arrhythmia Risk After Colonoscopy Medicina colonoscopy bowel preparation arrhythmia heart electrolyte |
| title | Using the Cardiac–Electrophysiological Balance Index to Predict Arrhythmia Risk After Colonoscopy |
| title_full | Using the Cardiac–Electrophysiological Balance Index to Predict Arrhythmia Risk After Colonoscopy |
| title_fullStr | Using the Cardiac–Electrophysiological Balance Index to Predict Arrhythmia Risk After Colonoscopy |
| title_full_unstemmed | Using the Cardiac–Electrophysiological Balance Index to Predict Arrhythmia Risk After Colonoscopy |
| title_short | Using the Cardiac–Electrophysiological Balance Index to Predict Arrhythmia Risk After Colonoscopy |
| title_sort | using the cardiac electrophysiological balance index to predict arrhythmia risk after colonoscopy |
| topic | colonoscopy bowel preparation arrhythmia heart electrolyte |
| url | https://www.mdpi.com/1648-9144/61/1/13 |
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