The Effect of Obesity and General Anaesthesia Mode on the Frontal QRS-T Angle During Laparoscopic Surgery
<b>Background/Objectives</b>: Obesity is a major cause of repolarisation defects of the heart. The frontal QRS-T angle is a new parameter used for cardiac evaluation. This study aimed to evaluate the effects of a laparoscopic cholecystectomy and anaesthetic agents on the frontal QRS-T an...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-08-01
|
| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/15/15/1962 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849239814452281344 |
|---|---|
| author | Harun Tolga Duran Bülent Meriç Çam Ahmet Salih Tüzen Muhammet Aydın Akdoğan Suat Evirgen |
| author_facet | Harun Tolga Duran Bülent Meriç Çam Ahmet Salih Tüzen Muhammet Aydın Akdoğan Suat Evirgen |
| author_sort | Harun Tolga Duran |
| collection | DOAJ |
| description | <b>Background/Objectives</b>: Obesity is a major cause of repolarisation defects of the heart. The frontal QRS-T angle is a new parameter used for cardiac evaluation. This study aimed to evaluate the effects of a laparoscopic cholecystectomy and anaesthetic agents on the frontal QRS-T angle in individuals with obesity. <b>Methods</b>: A total of 91 patients who underwent a laparoscopic cholecystectomy surgery were included in this study. The patients were divided into two groups according to body mass index (BMI) < 30 (<i>n</i> = 68) and ≥30 (<i>n</i> = 23). The frontal QRS-T angle (FQRST), QT interval (QT), corrected QT, and other electrocardiography (ECG) findings were recorded at different time points. <b>Results:</b> In the BMI ≥ 30 group, the frontal QRS-T angle and QT interval measured during the intraoperative period were statistically higher than those of the BMI < 30 group (<i>p</i> < 0.001, <i>p</i> < 0.001). Additionally, the frontal QRS-T angle value was statistically higher in all patients postoperatively compared with the preoperative and intraoperative periods (<i>p</i> < 0.001). Furthermore, there was a positive correlation between the BMI and the frontal QRS-T angle. Our study found that the QRS-T angle and the QT interval duration measured during surgery in the BMI ≥ 30 group who underwent a laparoscopic cholecystectomy were significantly higher than in the BMI < 30 group. <b>Conclusions</b>: We recommend close haemodynamic monitoring during and after surgery for patients with obesity undergoing a laparoscopic cholecystectomy. |
| format | Article |
| id | doaj-art-590733c554794d92a90d66dc4989947e |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-590733c554794d92a90d66dc4989947e2025-08-20T04:00:50ZengMDPI AGDiagnostics2075-44182025-08-011515196210.3390/diagnostics15151962The Effect of Obesity and General Anaesthesia Mode on the Frontal QRS-T Angle During Laparoscopic SurgeryHarun Tolga Duran0Bülent Meriç Çam1Ahmet Salih Tüzen2Muhammet Aydın Akdoğan3Suat Evirgen4Department of Anesthesiology and Reanimation, Amasya University Sabuncuoğlu Serefettin Training and Research Hospital, Amasya 05100, TurkeyDepartment of Anesthesiology and Reanimation, Amasya University Sabuncuoğlu Serefettin Training and Research Hospital, Amasya 05100, TurkeyDepartment of Anesthesiology and Reanimation, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir 35100, TurkeyDepartment of Anesthesiology and Reanimation, Amasya University Sabuncuoğlu Serefettin Training and Research Hospital, Amasya 05100, TurkeyDepartment of General Surgery, Amasya University Sabuncuoğlu Serefettin Training and Research Hospital, Amasya 05100, Turkey<b>Background/Objectives</b>: Obesity is a major cause of repolarisation defects of the heart. The frontal QRS-T angle is a new parameter used for cardiac evaluation. This study aimed to evaluate the effects of a laparoscopic cholecystectomy and anaesthetic agents on the frontal QRS-T angle in individuals with obesity. <b>Methods</b>: A total of 91 patients who underwent a laparoscopic cholecystectomy surgery were included in this study. The patients were divided into two groups according to body mass index (BMI) < 30 (<i>n</i> = 68) and ≥30 (<i>n</i> = 23). The frontal QRS-T angle (FQRST), QT interval (QT), corrected QT, and other electrocardiography (ECG) findings were recorded at different time points. <b>Results:</b> In the BMI ≥ 30 group, the frontal QRS-T angle and QT interval measured during the intraoperative period were statistically higher than those of the BMI < 30 group (<i>p</i> < 0.001, <i>p</i> < 0.001). Additionally, the frontal QRS-T angle value was statistically higher in all patients postoperatively compared with the preoperative and intraoperative periods (<i>p</i> < 0.001). Furthermore, there was a positive correlation between the BMI and the frontal QRS-T angle. Our study found that the QRS-T angle and the QT interval duration measured during surgery in the BMI ≥ 30 group who underwent a laparoscopic cholecystectomy were significantly higher than in the BMI < 30 group. <b>Conclusions</b>: We recommend close haemodynamic monitoring during and after surgery for patients with obesity undergoing a laparoscopic cholecystectomy.https://www.mdpi.com/2075-4418/15/15/1962obesityfrontal QRS-T angleQT intervalanaesthesia |
| spellingShingle | Harun Tolga Duran Bülent Meriç Çam Ahmet Salih Tüzen Muhammet Aydın Akdoğan Suat Evirgen The Effect of Obesity and General Anaesthesia Mode on the Frontal QRS-T Angle During Laparoscopic Surgery Diagnostics obesity frontal QRS-T angle QT interval anaesthesia |
| title | The Effect of Obesity and General Anaesthesia Mode on the Frontal QRS-T Angle During Laparoscopic Surgery |
| title_full | The Effect of Obesity and General Anaesthesia Mode on the Frontal QRS-T Angle During Laparoscopic Surgery |
| title_fullStr | The Effect of Obesity and General Anaesthesia Mode on the Frontal QRS-T Angle During Laparoscopic Surgery |
| title_full_unstemmed | The Effect of Obesity and General Anaesthesia Mode on the Frontal QRS-T Angle During Laparoscopic Surgery |
| title_short | The Effect of Obesity and General Anaesthesia Mode on the Frontal QRS-T Angle During Laparoscopic Surgery |
| title_sort | effect of obesity and general anaesthesia mode on the frontal qrs t angle during laparoscopic surgery |
| topic | obesity frontal QRS-T angle QT interval anaesthesia |
| url | https://www.mdpi.com/2075-4418/15/15/1962 |
| work_keys_str_mv | AT haruntolgaduran theeffectofobesityandgeneralanaesthesiamodeonthefrontalqrstangleduringlaparoscopicsurgery AT bulentmericcam theeffectofobesityandgeneralanaesthesiamodeonthefrontalqrstangleduringlaparoscopicsurgery AT ahmetsalihtuzen theeffectofobesityandgeneralanaesthesiamodeonthefrontalqrstangleduringlaparoscopicsurgery AT muhammetaydınakdogan theeffectofobesityandgeneralanaesthesiamodeonthefrontalqrstangleduringlaparoscopicsurgery AT suatevirgen theeffectofobesityandgeneralanaesthesiamodeonthefrontalqrstangleduringlaparoscopicsurgery AT haruntolgaduran effectofobesityandgeneralanaesthesiamodeonthefrontalqrstangleduringlaparoscopicsurgery AT bulentmericcam effectofobesityandgeneralanaesthesiamodeonthefrontalqrstangleduringlaparoscopicsurgery AT ahmetsalihtuzen effectofobesityandgeneralanaesthesiamodeonthefrontalqrstangleduringlaparoscopicsurgery AT muhammetaydınakdogan effectofobesityandgeneralanaesthesiamodeonthefrontalqrstangleduringlaparoscopicsurgery AT suatevirgen effectofobesityandgeneralanaesthesiamodeonthefrontalqrstangleduringlaparoscopicsurgery |