New Onset Cardiac Arrhythmias after Metabolic and Bariatric Surgery

Clapp, Benjamin; Amin, Mubashara; Dodoo, Christopher; Harper, Brittany; Liggett, Evan; Davis, Brian R.

doi:10.4293/jsls.2020.00067

Cited by 5 publications

(5 citation statements)

References 21 publications

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“…5 Furthermore, post-bariatric surgery SBs are usually asymptomatic and 80% of cases resolve without treatment. 6 In a retrospective study by Clapp et al, 13 only 0.8% of post-bariatric surgery patients required pacemaker insertion, the main indication of which was sick sinus syndrome. However, subjects with OSA were not excluded in the study and determining obesity or weight loss as the cause of arrhythmia could not be ascertained.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Sinus Bradycardia Post-Bariatric Surgery: A Case Report

Zulkufli¹,

Sani

2021

Proceedings of Singapore Healthcare

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Bradyarrhythmia as a result of significant weight loss post-bariatric surgery is slowly gaining recognition in few case reports and even fewer studies. However, awareness of its diagnosis and management amongst physicians remains modest. We report a case of asymptomatic sinus bradycardia in a 41-year-old woman who shed 19.5 kg/m2 in 4 months following bariatric surgery. The pathophysiology, diagnostics and management of post-bariatric surgery sinus bradycardia is briefly discussed.

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Section: Discussionmentioning

confidence: 99%

Asymptomatic Sinus Bradycardia Post-Bariatric Surgery: A Case Report

Zulkufli¹,

Sani

2021

Proceedings of Singapore Healthcare

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“…The pathogenesis of SSS is associated with obesity, hypertensive heart disease, and autonomic neuropathy. Clapp et al ( 41 ) found that obese patients with pacemaker placement were younger compared to non-obese patients with pacemaker implantation. Yanni et al ( 42 ) found that obesity was associated with a function-dependent decrease in SAN and structural remodeling of the SAN, which includes SAN enlargement, SAN cells hypertrophy and extracellular matrix remodeling.…”

Section: Discussionmentioning

confidence: 99%

Trends in research on sick sinus syndrome: A bibliometric analysis from 2000 to 2022

Zhang

Zhao

Zhou

et al. 2022

Front. Cardiovasc. Med.

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Sick sinus syndrome (SSS) is a refractory arrhythmia disease caused by the pathological changes of sinoatrial node and its adjacent tissues. 2,251 publications related to SSS were retrieved from Web of Science database from 2000 to 2022 and analyzed by using VOS viewer and CiteSpace software. The results showed the United States dominated the field, followed by Japan, Germany, and China. SSS was closely related to risk factors such as atrial fibrillation and aging. Sick sinus syndrome, atrial fibrillation and sinus node dysfunction were the top three keywords that had the strongest correlation with the study. Pacemaker implantation, differentiation and mutation are research hotspots currently. Clinical studies on SSS found that sick sinus syndrome, atrial fibrillation, and pacemakers were the top three keywords that had the largest nodes and the highest frequency. In the field of basic applied research and basic research, atrial fibrillation and pacemaker cells were the focus of research. In conclusion, bibliometric analysis provided valuable information for the prevention, treatment and future research trends of SSS.

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“…There is ample evidence that various bariatric procedures and subsequent weight loss significantly reduce the incidence of cardiovascular complications and improve the structure and function of the heart [ 4 , 15 ]. However, there are limited data evaluating the incidence of arrhythmias after bariatric surgery [ 14 , 15 , 33 , 34 ]. In the presented patients, it was surprising that numerous or severe cardiac arrhythmias were very rare, including atrial fibrillation or nocturnal bradyarrhythmia.…”

Section: Discussionmentioning

confidence: 99%

“…The available data often provide inconclusive and contradictory results too [ 7 , 10 , 11 , 12 , 13 ]. There is also no detailed evaluation of the impact of weight loss following bariatric surgery on the occurrence of various arrhythmias [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Holter-Derived Autonomic Function, Arrhythmias and Carbohydrate Metabolism in Patients with Class III Obesity Treated with Laparoscopic Sleeve Gastrectomy

Bienias

Rymarczyk

Domienik‐Karłowicz

et al. 2021

JCM

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The effects of weight loss following bariatric surgery on autonomic balance, arrhythmias and insulin resistance are still of interest. We prospectively investigated 50 patients with BMI > 40 kg/m2, aged 36.5 (18–56) years who underwent laparoscopic sleeve gastrectomy. Among other examinations, all subjects had 24-h Holter monitoring with heart rate variability (HRV) and heart rate turbulence (HRT) evaluation. After a median of 15 months, BMI decreased from 43.9 to 29.7 kg/m2, the incidence of hypertension decreased from 54 to 32% (p = 0.04) and any carbohydrate disorders decreased from 24 to 6% (p = 0.02). Fasting insulin concentration and insulin resistance index improved significantly (p < 0.001). Improvements in HRV parameters related to the sympathetic autonomic division were also observed (p < 0.001), while HRT evaluation was not conclusive. The enhancement of autonomic tone indices was correlated with reduction of BMI (SDNN-I r = 0.281 p = 0.04; SDNN r = 0.267 p = 0.05), but not with reduction of waist circumference, and it was also associated with decrease of mean heart rate (OR 0.02, 95%CI 0.0–0.1, p < 0.001). The incidence of arrhythmias was low and similar before and after follow-up. In conclusion, improvement of homeostasis of carbohydrate metabolism and autonomic function is observed in relatively young patients after weight loss due to laparoscopic sleeve gastrectomy.

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New Onset Cardiac Arrhythmias after Metabolic and Bariatric Surgery

Cited by 5 publications

References 21 publications

Asymptomatic Sinus Bradycardia Post-Bariatric Surgery: A Case Report

Asymptomatic Sinus Bradycardia Post-Bariatric Surgery: A Case Report

Trends in research on sick sinus syndrome: A bibliometric analysis from 2000 to 2022

Holter-Derived Autonomic Function, Arrhythmias and Carbohydrate Metabolism in Patients with Class III Obesity Treated with Laparoscopic Sleeve Gastrectomy

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