Shiraz University of Medical Sciences, Shiraz, Iran.
Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Sci Rep. 2024 Mar 20;14(1):6710. doi: 10.1038/s41598-024-57155-2.
Obesity can lead to cardiovascular dysfunctions and cause electrocardiographic disruptions. Bariatric surgery plays a significant role in weight loss. To assess its benefits, this study investigated electrocardiographic changes before and after bariatric surgery. The present article describes a retrospective cohort study with a 6-month follow-up period. Electrocardiograms were interpreted and compared before and six months after surgery. The relationships between weight loss, type of surgery, and electrocardiographic alterations were analyzed. A total of 200 patients participated in the study, with 34 (17%) men and 166 (83%) women. The mean age of the participants was 44.6 ± 8.6, and their mean body mass index was 43.8 ± 5.5 kg/m. The mean of QTc decreased after the surgery, while the Sokolow-Lyon scores increased. The statistical analysis showed that QTc dispersion (> 40) (P < 0.001), right ventricular hypertrophy (P < 0.001), abnormal R wave progression (P < 0.001), QTc (P < 0.001) and Sokolow-Lyon criteria (P < 0.001) significantly changed postoperatively. In conclusion, bariatric surgery can reduce QTc, correct poor R wave progression, and resolve right ventricular hypertrophy (RVH) in patients with morbid obesity.
肥胖可导致心血管功能障碍,并引起心电图异常。减重手术在减肥方面起着重要作用。为了评估其益处,本研究调查了减重手术前后的心电图变化。本文描述了一项具有 6 个月随访期的回顾性队列研究。在手术前和手术后 6 个月对心电图进行解读和比较。分析了体重减轻、手术类型与心电图改变之间的关系。共有 200 名患者参与了这项研究,其中 34 名(17%)为男性,166 名(83%)为女性。参与者的平均年龄为 44.6±8.6 岁,平均体重指数为 43.8±5.5kg/m。手术后 QTc 降低,而 Sokolow-Lyon 评分增加。统计分析显示,手术后 QTc 离散度(>40)(P<0.001)、右心室肥厚(P<0.001)、R 波异常进展(P<0.001)、QTc(P<0.001)和 Sokolow-Lyon 标准(P<0.001)均显著改变。总之,减重手术可降低肥胖患者的 QTc、纠正不良的 R 波进展并解决右心室肥厚(RVH)。