open access

Vol 13, No 3 (2018)
Young Cardiology
Published online: 2018-07-15
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Electrocardiographic and echocardiographic changes in dependence of gallbladder condition

Larysa Mykolajivna Strilchuk, Dmytro Besh, Oleg Rafalyuk
DOI: 10.5603/FC.2018.0043
·
Folia Cardiologica 2018;13(3):210-215.

open access

Vol 13, No 3 (2018)
Young Cardiology
Published online: 2018-07-15

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.

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.
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Keywords

ECG, EchoCG, coronary bypass surgery, ST interval depression, gallbladder

About this article
Title

Electrocardiographic and echocardiographic changes in dependence of gallbladder condition

Journal

Folia Cardiologica

Issue

Vol 13, No 3 (2018)

Pages

210-215

Published online

2018-07-15

DOI

10.5603/FC.2018.0043

Bibliographic record

Folia Cardiologica 2018;13(3):210-215.

Keywords

ECG
EchoCG
coronary bypass surgery
ST interval depression
gallbladder

Authors

Larysa Mykolajivna Strilchuk
Dmytro Besh
Oleg Rafalyuk

References (10)
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  8. Demarchi MS, Regusci L, Fasolini F. Electrocardiographic changes and false-positive troponin I in a patient with acute cholecystitis. Case Rep Gastroenterol. 2012; 6(2): 410–414.
  9. Panfilov BK, Shelepin AA, Stepanov NV, et al. Znachenie ehokardiografii v prognoze ishoda operatsij pri holecystite u pozhilyh lyude. Hirurgiya. 2002; [volume number?](3): 11–13.
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