Twenty-eight elderly patients, mostly with minor electrocardiographic abnormalities, underwent cystometry and simultaneous recording of the electrocardiogram in order to assess the influence of intravesical pressure elevation with regard to electrocardiographic changes. During cystometry intra-atrial, atrioventricular and ventricular conducting time remained unaffected, while the cardiac rate showed a moderate but significant increase without any serious impairment of cardiac function. It is concluded that slow filling without overdistension of the bladder can be considered safe even in elderly patients with cardiovascular problems.

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