Effects of sleeve gastrectomy surgery on electrocardiographic ventricular arrhythmia markers

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dc.authorid0000-0003-1784-3584en_US
dc.authorid0000-0002-3183-5815en_US
dc.authorid0000-0002-2159-064Xen_US
dc.authorid0000-0002-3487-1264en_US
dc.contributor.authorİnanir, Mehmet
dc.contributor.authorMemioğlu, Tolga
dc.contributor.authorYılmaz, Fatih
dc.contributor.authorEren, Hayati
dc.contributor.authorToprak, Kenan
dc.contributor.authorŞengül, Neriman
dc.date.accessioned2023-08-14T12:46:52Z
dc.date.available2023-08-14T12:46:52Z
dc.date.issued2022en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractAim: Severely obese patients are known to be at risk of malignant arrhythmias. The frequency of ventricular arrhythmia and sudden death is increasing in morbidly obese patients. Ventricular depolarization and repolarization parameters on the electrocardiogram can predict mortality and morbidity. Electrocardiographic (ECG) markers of ventricular depolarization and repolarization parameters like QT, QTc, QTd, QTdc, JT, JTc and Tp-e intervals and Tp-e/QT, Tp-e/QTc, Tp-e/JT and Tp-e/JTc ratios were evaluated before and after sleeve gastrectomy surgery. Material and Methods: ECG recordings of 35 (24 females and 11 males) morbid obese patients without evident cardiovascular disease were analyzed before and 20.3 +/- 9.6 (6-36) months after sleeve gastric surgery. QT, QRS, JT, and Tp-e intervals were measured. QTc, QTd, QTdc, and JTc intervals and Tp-e/QT, Tp-e/ QTc, Tp-e/JT and Tp-e/JTc ratios were calculated. Results: Body mass index (48.29 +/- 7.65 to 31.38 +/- 4.94 kg/m2, p<0.001), QTc interval (405.6 +/- 17.3 to 389.2 +/- 16.6 milisecond (ms), p<0.001), QTd (27.5 +/- 12.4 to 18.3 +/- 9.0 ms, p<0.001), QTdc (30.7 +/- 14.4 to 19.1 +/- 9.1 ms, p<0.001), JTc interval (315.0 +/- 19.0 to 301.2 +/- 20.4 ms, p=0.001), Tp-e interval (81.6 +/- 7.8 to 69.5 +/- 9.3 ms, p<0.001), Tp-e/QT ratio (0.22 +/- 0.03 to 0.19 +/- 0.02, p<0.001), Tp-e/QTc ratio (0.20 +/- 0.02 to 0.18 +/- 0.02, p<0.001), Tp-e/JT ratio (0.29 +/- 0.04 to 0.24 +/- 0.03, p<0.001) and Tp-e/JTc ratio (0.26 +/- 0.03 to 0.23 +/- 0.03, p<0.001) were significantly decreased after sleeve gastrectomy surgery. Discussion: QTc, QTd, QTdc, JTc, and Tp-e intervals and Tp-e/QT, Tp-e/QTc, Tp-e/JT and Tp-e/JTc ratios, which are potential ECG ventricular arrhythmia predictors were significantly decreased. Therefore weight reduction with sleeve gastrectomy surgery may be associated with decreased malign arrhythmia tendency and sudden cardiac death.en_US
dc.identifier.citationEffects of sleeve gastrectomy surgery on electrocardiographic ventricular arrhythmia markersen_US
dc.identifier.doi10.4328/ACAM.21355
dc.identifier.endpage1367en_US
dc.identifier.issn2667-663X
dc.identifier.issue12en_US
dc.identifier.startpage1364en_US
dc.identifier.urihttp://dx.doi.org/10.4328/ACAM.21355
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11516
dc.identifier.volume13en_US
dc.identifier.wosWOS:000895809100015en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.institutionauthorİnanır, Mehmet
dc.institutionauthorŞengül, Neriman
dc.language.isoenen_US
dc.publisherBayrakol Medical Publisheren_US
dc.relation.ispartofAnnals of Clinical and Analytical Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMorbid Obesityen_US
dc.subjectSleeve Gastrectomy Surgeryen_US
dc.subjectTp-e Intervalen_US
dc.subjectSudden Cardiac Deathen_US
dc.subjectTp-E/QT Ratioen_US
dc.subjectQT Intervalen_US
dc.titleEffects of sleeve gastrectomy surgery on electrocardiographic ventricular arrhythmia markersen_US
dc.typeArticleen_US

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