Evidence map›Paper›PMID 30575004›Full record

ArticleCardiology journal2020

Elective lung resection increases spatial QRS-T angle and QTc interval.

Szymon Bialka, Andrzej Jaroszynski, Todd T Schlegel, Hanna Misiolek, Damian Czyzewski, Marek Sawicki, Piotr Skoczylas, Magdalena Bielacz, Mateusz Bialy, Lukasz Szarpak and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
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Article in Cardiology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Szymon BialkaDepartment of Anaesthesiology and Intensive Therapy, School of Medicine with Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.
Andrzej JaroszynskiDepartment of Nephrology, Institute of Medical Science, Jan Kochanowski University of Kielce, Poland.
Todd T SchlegelDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden, and Nicollier-Schlegel SARL, Trélex, Switzerland.
Hanna MisiolekDepartment of Anaesthesiology and Intensive Therapy, School of Medicine with Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.
Damian CzyzewskiDepartment of Thoracic Surgery School of Medicine with Division of Dentistry in Zabrze, Medical University of Silesia, Katowice.
Marek SawickiDepartment of Thoracic Surgery Medical University of Lublin, Poland.
Piotr SkoczylasDepartment of Thoracic Surgery Medical University of Lublin, Poland.
Magdalena BielaczInstitute of Tourism and Recreation, State Vocational College of Szymon Szymonowicz, Zamosc, Poland.
Mateusz BialyDepartment of Anaesthesiology and Intensive Therapy Medical University of Lublin, Poland, Lublin, Poland.
Lukasz SzarpakLazarski University, Warsaw, Poland.
Wojciech DabrowskiDepartment of Anaesthesiology and Intensive Therapy Medical University of Lublin, Poland, Lublin, Poland. w.dabrowski5@yahoo.com.
Medical University of Lublin · PLMedical University of Silesia · PLJan Kochanowski University · PLKarolinska Institutet · SEState Higher School of Vocational Education in Zamość · PLUczelnia Łazarskiego · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung resection changes intra-thoracic anatomy, which may affect electrocardiographic results. While postoperative cardiac arrhythmias have been recognized after lung resection, no study has documented changes in vectorcardiographic variables in patients undergoing this surgery. The purpose of this study was to analyse changes in spatial QRS-T angle (spQRS-T) and corrected QT interval (QTc) after lung resection.

methodsAdult patients undergoing elective lung resection under general anaesthesia were studied. The patients were allocated into four groups: those undergoing (1) left lobectomy (LL); (2) left pneumonectomy (LP); (3) right lobectomy (RL); and (4) right pneumonectomy (RP). The spQRS-T angle and QTc interval were measured one day before surgery (baseline) and 24, 48 and 72 h after surgery.

resultsSeventy-one adult patients (47 men and 24 women) aged 47-80 (65 ± 7) years were studied. In the study group as a whole, lung resection was associated with significant increases in spQRS-T (p < 0.001) and QTc (p < 0.05 at 24 and 48 h and p < 0.01 at 72 h). The greatest changes were noted in patients undergoing LP. Postoperative atrial fibrillation (AF) was noted in 6.4% of patients studied, in whom the widest spQRS-T angle and the most prolonged QTc intervals were also noted.

conclusionsLung resection widens the spQRS-T angle and prolongs the QTc interval, especially in patients undergoing LP. While postoperative AF was a relatively rare complication after lung resection in this study, it was associated with the widest spQRS-T angles and most prolonged QTc intervals.

Indexed as

Atrial FibrillationLong QT SyndromeAdultElectrocardiographyFemaleHumansLungMaleatrial fibrillationcorrected QT intervalgeneral anaesthesiaspatial QRS-T anglevectorcardiography

Identifiers

PMID30575004
PMCPMC8079107
OpenAlexW2904717944

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.