Effects of weight loss after bariatric surgery on atrial electromechanical delay in obese subjects

• Published in: Future cardiology Vol. 18; no. 5; pp. 377 - 384
• Main Authors: Simsek, Mustafa Aytek, Cabbar, Ayca Turer, Ozveren, Olcay, Tascilar, Oge, Degertekin, Muzaffer
• Format: Journal Article
• Language: English
• Published: England Future Medicine Ltd 01.05.2022
• Subjects: atrial electromechanical delay; atrial fibrillation; Atrial Fibrillation - etiology; Bariatric Surgery; Heart Atria; Humans; obesity; Obesity - complications; Obesity - surgery; sleeve gastrectomy; Weight Loss; atrial electromechanical delay; weight loss; atrial fibrillation; bariatric surgery; sleeve gastrectomy; obesity
• ISSN: 1479-6678; 1744-8298
• DOI: 10.2217/fca-2021-0093

The authors investigated the relationship between weight loss after sleeve gastrectomy and change in atrial electromechanical delay values. A total of 41 patients were included. The primary end point was any effect of total weight loss on atrial electromechanical delay parameters. The mean loss of body weight was 25.50 ± 11.07 kg. There was a significant correlation between mean body weight change and change in interatrial and left intra-atrial electromechanical delays (Pearson's correlation coefficient: 0.575 and 0.871, respectively; p < 0.001). Only change in body weight was significantly related to change in interatrial electromechanical delay (regression coefficient: 0.707; p < 0.01). In this study, a significant relationship was found between amount of body weight loss and decrease in atrial electromechanical values. Obesity is associated with heart rhythm disturbances. Synchrony between the electrical and mechanical activities of the heart is adversely affected in people with obesity. In this study, the authors aimed to show the effect of amount of weight loss after weight loss surgery on the coupling properties of electrical and mechanical activities of heart chambers called atria. The authors included 41 participants. Heart ultrasound was done before and after weight loss surgery. Statistical analyses were performed to show the effect of total body weight loss on the heart's electrical and mechanical atrial functions. Significant weight loss was observed in participants during short-term follow-up after surgery and was found to be related to the electrical and mechanical functions of the atria. In the authors' study, weight loss achieved in the short term after weight loss surgery improved the electrical and mechanical coupling of the atria. This may translate into decreased rhythm disturbance risk in these patients.