ECG Changes in the Elderly Urology Patients during Pre-Operative Assessment in Ibadan Nigeria
Emily E Awana* and Tinuola Abiodun Adigun
Department of Anesthesia, University college Hospital, Ibadan, Nigeria
- *Corresponding Author:
- Emily E Awana
Department of Anaesthesia
University College Hospital
Pmb991, Ibadan Nigeria
E-mail: [email protected]
Received date: April 24, 2014; Accepted date: November 10, 2014; Published date: November 14, 2014
Citation: Awana EE, Adigun TA (2014) ECG Changes in the Elderly Urology Patients during Pre-Operative Assessment in Ibadan Nigeria. J Anesth Clin Res 5:462. doi: 10.4172/2155-6148.1000462
Copyright: © 2014 Awana EE, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Electrocardiograph (ECG) is an important screening tool used to identify significant ECG changes that may alter perioperative management.
Objective: To find out the pattern of ECG changes in the elderly urology patients during the pre-operative review in a tertiary centre. Study design and method: This was a prospective study of elderly urology patients recruited consecutively at the urology clinic during the pre anaesthetic review over a period of one year.
Result: ECG recordings from 60 elderly patients with age ranged 65-87 years and mean age 70.84 ± 5.58 years were studied. Thirty percent of patients had normal ECG while 70% had abnormal ECG. Hypertension and diabetes mellitus were the two common intercurrent medical diseases in this study. The abnormal ECG findings were left ventricular hypertrophy 20%, sinus tachycardia 10%, sinus bradycardia 5%, left axis deviation 6.6%, right bundle branch block 6.6%, left bundle branch block 1.7%, AV block 1.7%, atrial fibrillation 3.3%, premature ventricular contraction 6.6% and left atrial enlargement 3.3% and ST elevation 5%.
Conclusion: Majority of elderly presenting for preoperative assessment for urological procedures had abnormal ECG; left ventricular hypertrophy was the commonest. ECG is a readily available vital diagnostic tool for detecting patients at risk of intra and postoperative complications in a low resource centre.