Hernández-Ledezma FU, Córdova-Fraga T, Hernández-González MA, Vargas-Luna M, Cano ME, De la Roca-Chiapas JM, Solorio S

Language: Spanish
References: 34
Page: 29-34
PDF size: 182.26 Kb.

ABSTRACT

Introduction: Similar than what happens in the heart, the stomach has its own pacemaker in which a electrical signal called basal electrical rhythm, is generated at a rate of 3 cpm. Objective: To have in a single, low cost, portable and wireless device, the capability of evaluating electrogastrography and electrocardiography either simultaneously or separately. Materials and methods: Simultaneous evaluation of electrical activity of the heart and stomach in a pre and post-prandial state protocol. Results: With the device presented in this work we have evaluated heart activity obtaining P-QRS-T complex. Also the same apparatus has the capability of evaluating electrical activity of the gastric region in a pre and post-prandial conditions protocol. Discussion: We suggest the clinical application of this device in clinics and hospitals for monitoring diabetic patients with neuropathy. The device is portable with the option if wireless data transmission of heart or/and stomach electrical activity.

REFERENCES

1. Real-Martínez Y, Díaz-Rubio M. Electrogastrografía en sujetos sanos: Reproducibilidad de la técnica. Universidad Complutense de Madrid, Medicina, Madrid España. 1999: 19-82.

2. Guyton AC, Hall JE. Tratado de Fisiología Médica. Madrid España. 11 ed. Mc Graw Hill. 2006: 784-785.

3. Conover MB. Electrocardiografía práctica. Madrid: Mosby/Doyma Libros; 1995: 1-20.

4. Módulo de adquisición para prueba de esfuerzo cardiovascular (MAPEC). Niño P, Avilés O, Saavedra J, Orejuela M, De La Hoz M, II Congreso Latinoamericano de Ingeniería Biomédica, Mayo 2001, La Habana, Cuba.

5. Mariani G, Boni G, Barreca M, Bellini M, Fattori B, AlSharif A et al. Radionuclide gastroesophageal motor studies. The Journal of Nuclear Medicine 2004; 45: 46.

6. Sun WM, Smout A, Malbert C, Edelbroek MA, Jones K, Dent J, Horowitz M. Relationship between surface electrogastrography and antropyloric pressures. Am J Physiol 1995; 268(3 Pt 1): G424-G430.

7. Einthoven W. Ueber die Form des menschlichen Electrocardiogramms. Arch f d Ges Physiol 1895; 60: 101-123.

8. Einthoven W. Galvanometrische registratie van het menschilijk electrocardiogram. In: Herinneringsbundel Professor S. S. Rosenstein. Leiden: Eduard Ijdo, 1902: 101-110.

9. James WB, Williams HB. The electrocardiogram in clinical medicine. Am J Med Sci 1910; 140: 408-421, 644-669.

10. Kadish A, Buxton A, Kennedy H, Knight BP, Mason JM, Schuger CD, Tracy CM. ACC/AHA Clinical competence statement on electrocardiography and ambulatory electrocardiography. A Report of the ACC/AHA/ACP–ASIM Task force on clinical competence (ACC/AHA committee to develop a clinical competence statement on electrocardiography and ambulatory electrocardiography) Endorsed by the International Society for Holter and Noninvasive Electrocardiology. Circulation 2001; 104: 3169.

11. Kligfield P, Gettes L, Bailey J, Childers R, Deal B, Hancock W, van Herpen G, Kors J, Macfarlane P, Mirvis D et al. Recommendations for the standardization and interpretation of the electrocardiogram Part I: The electrocardiogram and its technology a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society Endorsed by the International Society for Computerized Electrocardiology. Circulation 2007; 115: 1306-1324.

12. Ting H, Krumholz H, Bradley E, Cone D, Curtis J, Drew B, Field J, French W, Gibler B, Goff D, Jacobs A et al. Implementation and integration of prehospital ECGs into systems of care for acute coronary syndrome. A Scientific Statement From the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research, Emergency Cardiovascular Care Committee, Council on Cardiovascular Nursing, and Council on Clinical Cardiology. Circulation 2008; 118; 1066-1079.

13. Hinder R, Kelly K. Human gastric pacesetter potencial. Site of origin, spread, and response to gastric transection and proximal gastric vagotomy. Am J Surg 1977; 133: 29-33.

14. Kwong N, Brown B, Whittaker G, Duthie H. Electrical activity of the gastric antrum in man. Br J Surg 1970; 57: 913-9166.

15. Álvarez W. The electrogastrogram and what it shows. JAMA 1922; 78: 1116-1119.

16. Chen J, McCallum R. Electrogastrography. Principles and Applications. New York Raven Press 1994.

17. Pfaffenbach B, Adamek R, Kuhn K, Wegener M. Electrogastrography in healthy subjects. Evaluation of normal values, influence of age and gender. Dig Dis Sci 1995; 40: 1445-1450.

18. Chen J, Co E, Liang J, Pan J, Sutphen J, Torres Pinedo R et al. Patterns of gastric myoelectrical activity in human subjects of differents ages. Am J Physiol 1997; 272: G1022-1027.

19. Levanon D, Zhang M, Chen J. Efficiency and efficacy of the electrogastrogram. Dig Dis Sci 1998; 43: 1023-1030.

20. Camilleri M, Hasler W, Parkman H, Quigley E, Soffer E. Measurement of gastrointestinal motility in the GI laboratory. Gastroenterology 1998; 115: 747-762.

21. Verhagen M, Van Schelven L, Samsom M, Smout A. Pitfalls in the analysis of electrogastrographic recording. Gastroenterology 1999; 117: 453-460.

22. Smout A, Van Der Schee E, Grashuis J. What is measured in electrogastrography? Dig Dis Sci 1980; 23: 179-185.

23. Mintchev M, Stickel A, Bowes K. Comparative assessment of power dynamics of gastric electrical activity. Dig Dis Sci 1997; 42: 1154-1157.

24. You C, Lee K, Chey W, Menguy R. Electrogastrographic study of patients with unexplained nausea, bloating and vomiting. Gastroenterology 1980; 79: 311-314.

25. You C, Chey W, Lee K, Menguy R, Bortoff A. Gastric and small intestinal myoelectric dysrhythmia associated with chronic intractable nausea and vomiting. Ann Intern Med 1981; 95: 449-451.

26. Bortolotti M, Sarti P, Barbara L, Brunelli F. Gastric myoelectric activity in patients with chronic idiopatic gastroparesis. Gastrointest Mot 1990; 2: 104-108.

27. Abell T, Malagelada J. Glucagon-evoked gastric dysrrthmias in humans shown by an improved electrogastrographic technique. Gastroenterology 1985; 88: 1932-1940.

28. Koch K, Tran T, Stern R, Bingaman S, Sperry N. Gastric myoelectrical activity in premature and term infants. Gastrointest Mot 1993; 5: 41-47.

29. Riezzo G, Cucchiara S, Chiloiro M, Minella R, Guerra V, Giorgio I. Gastric emptying and myoelectrical activity in children with nonulcer dyspepsia. Effect of cisapride. Dig Dis Sci 1995; 40: 1428-1434.

30. Heikenen J, Werlin S, Brown C. Electrogastrography in gastrostomy-tube-fed children. Dig Dis Sci 1999; 44: 1293-1297.

31. Cucchiara S, Salvia G, Borrelli O, Ciccimarra E, Az-Zaqeh N, Rapagiolo S et al. Gastric electrical dysrhythmias and delayed gastric emptying in gastroesophageal reflux disease. Am J Gastroenterol 1997; 92: 1103-1107.

32. Koch K, Stern R, Steward W. Vasey gastric emptying and gastric myoelectrical activity in patients with diabetic gastroparesis: Effect of long-term domperidone treatment. Am J Gastroenterol 1989; 84: 1069-1075.

33. Rothstein R, Alavi A, Reynolds J. Electrogastrography in patients with gastroparesis and effect of long-term cisapride. Dig Dis Sci 1993; 38: 1518-1524.

34. Lin Z, Eaker E, Sarosiek I, McCallum R. Gastric myoelectrical activity and gastric emptying in patients with functional dyspepsia. Am J Gastroenterol 1999; 94: 2384-2389.