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评估病态肥胖患者接受减肥手术后心室复极参数的变化。

Evaluation of Changes in Ventricular Repolarization Parameters in Morbidly Obese Patients Undergoing Bariatric Surgery.

机构信息

Cardiology Department, Başakşehir Çam and Sakura City Hospital, Başakşehir Mahallesi G-434 Caddesi No: 2L, 34480 Başakşehir, İstanbul, Turkey.

Cardiology Department, İstanbul Medipol University, İstanbul, Turkey.

出版信息

Obes Surg. 2021 Jul;31(7):3138-3143. doi: 10.1007/s11695-021-05385-y. Epub 2021 Apr 15.

Abstract

BACKGROUND

Weight loss after bariatric surgery has been associated with reduced cardiovascular mortality and overall mortality in obese patients. In this study, we aimed to analyze the changes between pre-operation and post-operation ventricular arrhythmia predictors in patients who underwent bariatric surgery.

MATERIALS AND METHODS

The study included 58 patients who underwent bariatric surgery. We measured QT max, QT min, QRS, JT, and Tp-e intervals, and we estimated Tp-e/QT max, Tp-e/QTc max, Tp-e/JT, Tp-e/JTc rates, QTc max, QTc min, cQTd, and JTc intervals both pre-op and 6 months post-op.

RESULTS

Heart rate, PR, QT max, QTc max, QTc min, cQTd, JTc, Tp-e, Tp-e/QT max, Tp-e/QTc max, Tp-e/JT, and Tp-e/JTc values, which were close to the upper limit in the pre-op period, showed statistically significant decreases at 6 months post-op.

CONCLUSION

The results of our study showed that bariatric surgery had positive effects on the regression of ventricular repolarization parameters and the possible development of ventricular arrhythmia.

摘要

背景

减重手术可降低肥胖患者的心血管死亡率和总死亡率。本研究旨在分析接受减重手术患者的术前和术后室性心律失常预测因子的变化。

材料与方法

该研究纳入了 58 名接受减重手术的患者。我们测量了 QT max、QT min、QRS、JT 和 Tp-e 间期,并分别在术前和术后 6 个月估计了 Tp-e/QT max、Tp-e/QTc max、Tp-e/JT、Tp-e/JTc 比值、QTc max、QTc min、cQTd 和 JTc 间期。

结果

心率、PR、QT max、QTc max、QTc min、cQTd、JT、Tp-e、Tp-e/QT max、Tp-e/QTc max、Tp-e/JT 和 Tp-e/JTc 值在术前接近上限,术后 6 个月时显著下降。

结论

本研究结果表明,减重手术对心室复极参数的逆转动和室性心律失常的发生有积极作用。

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