Effects of Bariatric Surgery on Heart Rhythm Disorders: a Systematic Review and Meta-Analysis
Obesity Surgery, cilt.31, sa.5, ss.2278-2290, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 31 Sayı: 5
- Basım Tarihi: 2021
- Doi Numarası: 10.1007/s11695-021-05314-z
- Dergi Adı: Obesity Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Sayfa Sayıları: ss.2278-2290
- Anahtar Kelimeler: Obesity, Atrial fibrillation, Bariatric surgery, Metabolic surgery, Heart rhythm disorders
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The aim of this systematic review is to provide an overview of the literature on the effects of bariatric surgery on obesity-associated electrocardiogram (ECG) abnormalities and cardiac arrhythmias. Fourteen studies were included with a methodological quality ranging from poor to good. Majority of the studies showed a significant decrease of QT interval and related measures after bariatric surgery. Seven studies were included in the meta-analysis on effects of bariatric surgery on QTc interval and a significant decrease in QTc interval of − 33.6 ms, 95%CI [− 49.8 to − 17.4] was seen. Bariatric surgery results in significant decrease in QTc interval and P-wave dispersion, i.e., a normalization of initial pathology. The effects on atrial fibrillation are conflicting and not yet fully understood. Graphical abstract: [Figure not available: see fulltext.]