Electrocardiographic changes after breast reduction surgery
Macromastia is associated with symptoms related to postural changes and decreased mobility. Breast reduction surgery (BRS) is the treatment of choice for these patients. Anatomical and structural changes in body posture and habitus might cause changes in electrocardiography (ECG). In this study, we...
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Veröffentlicht in: | Journal of plastic surgery and hand surgery 2023-02, Vol.57 (1-6), p.236-239 |
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creator | Ergan Sahin, Ayca Yasak, Tugce Yılmaz, Burak Sahin, Ahmet Anil Demir, Ali Rıza Colak, Ozlem |
description | Macromastia is associated with symptoms related to postural changes and decreased mobility. Breast reduction surgery (BRS) is the treatment of choice for these patients. Anatomical and structural changes in body posture and habitus might cause changes in electrocardiography (ECG). In this study, we aimed to evaluate the outcome of BRS on ECG changes of the patients after surgery. Study population included 33 female patients who had undergone BRS. ECG records of every patient before procedure and 6 months after procedure were analyzed retrospectively. Patients were naïve of known cardiac diseases and the patients did not have any known arrhythmia. The mean age of the study population was 40.8 ± 9.6. Total removed breast tissue from both sides was 1493 (1052-2138) mL, as 800 (513-1093) mL removed from right side and 740 (519-1050) mL removed from left side. There were significant changes in ECG of the patients in post-operative period. Atrial conduction parameters such as, PR duration (p |
doi_str_mv | 10.1080/2000656X.2022.2052082 |
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Breast reduction surgery (BRS) is the treatment of choice for these patients. Anatomical and structural changes in body posture and habitus might cause changes in electrocardiography (ECG). In this study, we aimed to evaluate the outcome of BRS on ECG changes of the patients after surgery. Study population included 33 female patients who had undergone BRS. ECG records of every patient before procedure and 6 months after procedure were analyzed retrospectively. Patients were naïve of known cardiac diseases and the patients did not have any known arrhythmia. The mean age of the study population was 40.8 ± 9.6. Total removed breast tissue from both sides was 1493 (1052-2138) mL, as 800 (513-1093) mL removed from right side and 740 (519-1050) mL removed from left side. There were significant changes in ECG of the patients in post-operative period. Atrial conduction parameters such as, PR duration (p<.001), Pmax duration (p<.001) and P wave dispersion (p<.001) were significantly decreased post-operatively. Additionally, ventricular conduction parameters such as, TPe duration (p<.001), TPe/QT (p=.013) and TPe/QTc (p=.005) ratios were found significantly decreased in ECGs of the patients. BRS as a treatment for macromastia does not only improve posture and mobility of the patients and also have positive impact on cardiac conductions. In patients those had BRS, atrial and ventricular conductions detected by ECG recordings were improved after surgery.</description><identifier>ISSN: 2000-656X</identifier><identifier>EISSN: 2000-6764</identifier><identifier>DOI: 10.1080/2000656X.2022.2052082</identifier><identifier>PMID: 35311464</identifier><language>eng</language><publisher>Sweden: Taylor & Francis</publisher><subject>Atrial Fibrillation ; breast ; breast reduction ; Breast surgery ; electrocardiography ; Electrocardiography - methods ; Female ; Humans ; Hypertrophy ; Mammaplasty ; P wave ; Retrospective Studies ; T wave</subject><ispartof>Journal of plastic surgery and hand surgery, 2023-02, Vol.57 (1-6), p.236-239</ispartof><rights>2022 Acta Chirurgica Scandinavica Society 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c314t-bd1b5b99f1ef25e20b0c784c1420bc9ad5835ccbc3b61066d6482aefd086c0b73</cites><orcidid>0000-0002-3776-0228</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35311464$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ergan Sahin, Ayca</creatorcontrib><creatorcontrib>Yasak, Tugce</creatorcontrib><creatorcontrib>Yılmaz, Burak</creatorcontrib><creatorcontrib>Sahin, Ahmet Anil</creatorcontrib><creatorcontrib>Demir, Ali Rıza</creatorcontrib><creatorcontrib>Colak, Ozlem</creatorcontrib><title>Electrocardiographic changes after breast reduction surgery</title><title>Journal of plastic surgery and hand surgery</title><addtitle>J Plast Surg Hand Surg</addtitle><description>Macromastia is associated with symptoms related to postural changes and decreased mobility. Breast reduction surgery (BRS) is the treatment of choice for these patients. Anatomical and structural changes in body posture and habitus might cause changes in electrocardiography (ECG). In this study, we aimed to evaluate the outcome of BRS on ECG changes of the patients after surgery. Study population included 33 female patients who had undergone BRS. ECG records of every patient before procedure and 6 months after procedure were analyzed retrospectively. Patients were naïve of known cardiac diseases and the patients did not have any known arrhythmia. The mean age of the study population was 40.8 ± 9.6. Total removed breast tissue from both sides was 1493 (1052-2138) mL, as 800 (513-1093) mL removed from right side and 740 (519-1050) mL removed from left side. There were significant changes in ECG of the patients in post-operative period. Atrial conduction parameters such as, PR duration (p<.001), Pmax duration (p<.001) and P wave dispersion (p<.001) were significantly decreased post-operatively. Additionally, ventricular conduction parameters such as, TPe duration (p<.001), TPe/QT (p=.013) and TPe/QTc (p=.005) ratios were found significantly decreased in ECGs of the patients. BRS as a treatment for macromastia does not only improve posture and mobility of the patients and also have positive impact on cardiac conductions. In patients those had BRS, atrial and ventricular conductions detected by ECG recordings were improved after surgery.</description><subject>Atrial Fibrillation</subject><subject>breast</subject><subject>breast reduction</subject><subject>Breast surgery</subject><subject>electrocardiography</subject><subject>Electrocardiography - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertrophy</subject><subject>Mammaplasty</subject><subject>P wave</subject><subject>Retrospective Studies</subject><subject>T wave</subject><issn>2000-656X</issn><issn>2000-6764</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLw0AQgBdRbKn9CUqOXlL33QQvSqkPKHhR8Lbss40k2TqbIP33prT16GVefDMDH0LXBM8ILvAdxRhLIT9nFFM6BEFxQc_QeD_P5Vzy81M9QCM0Telr6DArGcfyEo2YYIRwycfofll720G0GlwV16C3m8pmdqPbtU-ZDp2HzIDXqcvAu952VWyz1MPaw-4KXQRdJz895gn6eFq-L17y1dvz6-JxlVtGeJcbR4wwZRmID1R4ig2284JbwofSltqJgglrjWVGEiylk7yg2geHC2mxmbMJuj3c3UL87n3qVFMl6-tatz72SVHJiSCyKMsBFQfUQkwJfFBbqBoNO0Ww2qtTJ3Vqr04d1Q17N8cXvWm8-9s6iRqAhwNQtSFCo38i1E51eldHCKBbWyXF_v_xC-uefZs</recordid><startdate>20230228</startdate><enddate>20230228</enddate><creator>Ergan Sahin, Ayca</creator><creator>Yasak, Tugce</creator><creator>Yılmaz, Burak</creator><creator>Sahin, Ahmet Anil</creator><creator>Demir, Ali Rıza</creator><creator>Colak, Ozlem</creator><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3776-0228</orcidid></search><sort><creationdate>20230228</creationdate><title>Electrocardiographic changes after breast reduction surgery</title><author>Ergan Sahin, Ayca ; Yasak, Tugce ; Yılmaz, Burak ; Sahin, Ahmet Anil ; Demir, Ali Rıza ; Colak, Ozlem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c314t-bd1b5b99f1ef25e20b0c784c1420bc9ad5835ccbc3b61066d6482aefd086c0b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Atrial Fibrillation</topic><topic>breast</topic><topic>breast reduction</topic><topic>Breast surgery</topic><topic>electrocardiography</topic><topic>Electrocardiography - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertrophy</topic><topic>Mammaplasty</topic><topic>P wave</topic><topic>Retrospective Studies</topic><topic>T wave</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ergan Sahin, Ayca</creatorcontrib><creatorcontrib>Yasak, Tugce</creatorcontrib><creatorcontrib>Yılmaz, Burak</creatorcontrib><creatorcontrib>Sahin, Ahmet Anil</creatorcontrib><creatorcontrib>Demir, Ali Rıza</creatorcontrib><creatorcontrib>Colak, Ozlem</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of plastic surgery and hand surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ergan Sahin, Ayca</au><au>Yasak, Tugce</au><au>Yılmaz, Burak</au><au>Sahin, Ahmet Anil</au><au>Demir, Ali Rıza</au><au>Colak, Ozlem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electrocardiographic changes after breast reduction surgery</atitle><jtitle>Journal of plastic surgery and hand surgery</jtitle><addtitle>J Plast Surg Hand Surg</addtitle><date>2023-02-28</date><risdate>2023</risdate><volume>57</volume><issue>1-6</issue><spage>236</spage><epage>239</epage><pages>236-239</pages><issn>2000-656X</issn><eissn>2000-6764</eissn><abstract>Macromastia is associated with symptoms related to postural changes and decreased mobility. Breast reduction surgery (BRS) is the treatment of choice for these patients. Anatomical and structural changes in body posture and habitus might cause changes in electrocardiography (ECG). In this study, we aimed to evaluate the outcome of BRS on ECG changes of the patients after surgery. Study population included 33 female patients who had undergone BRS. ECG records of every patient before procedure and 6 months after procedure were analyzed retrospectively. Patients were naïve of known cardiac diseases and the patients did not have any known arrhythmia. The mean age of the study population was 40.8 ± 9.6. Total removed breast tissue from both sides was 1493 (1052-2138) mL, as 800 (513-1093) mL removed from right side and 740 (519-1050) mL removed from left side. There were significant changes in ECG of the patients in post-operative period. Atrial conduction parameters such as, PR duration (p<.001), Pmax duration (p<.001) and P wave dispersion (p<.001) were significantly decreased post-operatively. Additionally, ventricular conduction parameters such as, TPe duration (p<.001), TPe/QT (p=.013) and TPe/QTc (p=.005) ratios were found significantly decreased in ECGs of the patients. BRS as a treatment for macromastia does not only improve posture and mobility of the patients and also have positive impact on cardiac conductions. In patients those had BRS, atrial and ventricular conductions detected by ECG recordings were improved after surgery.</abstract><cop>Sweden</cop><pub>Taylor & Francis</pub><pmid>35311464</pmid><doi>10.1080/2000656X.2022.2052082</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-3776-0228</orcidid></addata></record> |
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subjects | Atrial Fibrillation breast breast reduction Breast surgery electrocardiography Electrocardiography - methods Female Humans Hypertrophy Mammaplasty P wave Retrospective Studies T wave |
title | Electrocardiographic changes after breast reduction surgery |
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