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

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.

Keywords: Electrocardiogram; Obesity; Repolarization; Surgery; Ventricular arrhythmia.

MeSH terms

  • Arrhythmias, Cardiac / etiology
  • Bariatric Surgery*
  • Electrocardiography
  • Heart Rate
  • Humans
  • Obesity, Morbid* / surgery