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To the Editor.—
I was very interested to see the paper by Gregory L. Eastwood on ECG abnormalities associated with barium enema in the Feb 7,1972 issue of The Journal This is because his observations have confirmed one of my pet clinical impressions. Often, when called upon by my surgical colleagues to render an opinion concerning the fitness of an aged patient for anesthesia, I take particular note of the radiologic procedures he has had. From noting his survival without complications of one or more barium enemas within the not-too-distant past, I think one can gain a crude assessment of the patient's ability to tolerate the stresses we impose upon him during the induction of an anesthetic—a period which is likewise fraught with a high incidence of cardiac arrhythmias.
Andree RA. ECG Abnormalities And the Barium Enema. JAMA. 1972;220(1):133. doi:10.1001/jama.1972.03200010113037