Safety and efficacy of digital rectal examination in patients with acute myocardial infarction
| Autor: | V. S. Kaushik, Moustafa Alamy, Deborah Moran, Abbasi J. Akhtar, Kalpana Ganesan, Jonathan Akanno, Tu Tran, Roger Wu |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
medicine.medical_specialty Myocardial Infarction Electrocardiography Internal medicine Clinical investigation medicine Humans In patient cardiovascular diseases Myocardial infarction Prospective Studies Intensive care medicine Physical Examination Aged Aged 80 and over Hepatology medicine.diagnostic_test business.industry Gastroenterology Rectum Electrocardiography in myocardial infarction Arrhythmias Cardiac Rectal examination Middle Aged medicine.disease Coronary heart disease Test efficiency Emergency medicine Cardiology cardiovascular system Radiology Myocardial disease Safety business |
| Zdroj: | The American journal of gastroenterology. 95(6) |
| ISSN: | 0002-9270 |
| Popis: | Digital rectal examination (DRE) is often ignored or deferred in acute myocardial infarction (AMI). The aim of this study was to determine the safety and efficacy of DRE in patients with AMI.This was a prospective, comparative, stratified study in an inner-city teaching hospital. A total of 480 patients from intensive care and telemetry units were stratified into three groups. Group I included 160 patients with AMI in whom a DRE was performed and electrocardiographic (EKG) recordings were obtained. Group II included 155 patients with AMI in whom DRE was not done, but EKG recordings were made. Group III consisted of 165 patients without AMI in whom DRE was performed and EKG recordings were obtained. Sustained arrhythmias and vital signs were measured.None of the patients developed sustained arrhythmias and there was no change in vital signs. DRE resulted in the detection of several clinically significant findings.DRE was found to be safe in our stable patients with AMI. |
| Databáze: | OpenAIRE |
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