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Effects of Bariatric Surgery on Heart Rhythm Disorders: a Systematic Review and Meta-Analysis.
Sanches, Elijah E; Topal, Besir; de Jongh, Frank W; Cagiltay, Eylem; Celik, Alper; Sundbom, Magnus; Ribeiro, Rui; Parmar, Chetan; Ugale, Surendra; Mahawar, Kamal; Buise, Marc P; Dekker, Lukas R; Ramnarain, Dharmanand; Pouwels, Sjaak.
Afiliação
  • Sanches EE; Department of Surgery, Haaglanden Medical Center, The Hague, The Netherlands.
  • Topal B; Department of Cardiothoracic Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
  • de Jongh FW; Department of Plastic Surgery, Haaglanden Medical Center, The Hague, The Netherlands.
  • Cagiltay E; Department of Endocrinology and Metabolic Diseases, University of Health Sciences Turkey, Sultan Abdulhamid Han Education and Research Hospital, Istanbul, Turkey.
  • Celik A; Metabolic Surgery Clinic, Sisli, Istanbul, Turkey.
  • Sundbom M; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
  • Ribeiro R; Centro Multidisciplinar da Doença Metabólica, Clínica de Santo António, Reboleira, Lisbon, Portugal.
  • Parmar C; Department of Surgery, Whittington Hospital, London, United Kingdom.
  • Ugale S; Bariatric & Metabolic Surgery Clinic, Virinchi Hospitals, Hyderabad, India.
  • Mahawar K; Bariatric Unit, Sunderland Royal Hospital, Sunderland, United Kingdom.
  • Buise MP; Department of Anesthesiology, Intensive Care and Pain Medicine, Catharina Hospital, Eindhoven, The Netherlands.
  • Dekker LR; Department of Cardiology, Catharina Hospital, Eindhoven, The Netherlands.
  • Ramnarain D; Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, P.O. Box 9051, 5000 LC, Tilburg, The Netherlands.
  • Pouwels S; Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, P.O. Box 9051, 5000 LC, Tilburg, The Netherlands. Sjaakpwls@gmail.com.
Obes Surg ; 31(5): 2278-2290, 2021 May.
Article em En | MEDLINE | ID: mdl-33712936
ABSTRACT
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fibrilação Atrial / Obesidade Mórbida / Cirurgia Bariátrica Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fibrilação Atrial / Obesidade Mórbida / Cirurgia Bariátrica Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Holanda