Evidence map›Paper›PMID 42371754›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2026

Electrocardiographic Repolarization Changes Following Orchiectomy: Insights Into QT Interval Prolongation and Clinical Implications.

Yuta Sakaguchi, Kenichi Iijima, Naomasa Suzuki, Takahiro Hakamata, Yasuhiro Ikami, Sou Otsuki, Nobue Yagihara, Daisuke Izumi, Takayuki Inomata

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Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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9 authors.

Yuta SakaguchiDepartment of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.ORCID 0009-0009-1314-4621
Kenichi IijimaDepartment of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Naomasa SuzukiDepartment of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Takahiro HakamataDepartment of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Yasuhiro IkamiDepartment of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Sou OtsukiDepartment of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.ORCID 0000-0002-6366-4221
Nobue YagiharaDepartment of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Daisuke IzumiDepartment of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Takayuki InomataDepartment of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSex steroid hormones influence ventricular repolarization and QT interval duration. Testosterone has been associated with shorter QT intervals, whereas androgen deprivation may prolong repolarization indices. However, the effects of orchiectomy on ECG parameters in humans remain insufficiently characterized.

methodsWe conducted a retrospective analysis of 233 consecutive patients who underwent orchiectomy at our hospital between 2006 and 2021. ECG parameters were compared in 44 patients who had ECG recorded both before and after surgery. Furthermore, the effects of surgery were stratified by unilateral (n = 20) and bilateral orchiectomy (n = 24) groups to assess differential effects.

resultsThe mean age was 59.5 years old. Patients in the unilateral group were significantly younger, taller, and heavier (p < 0.05). Orchiectomy was performed for prostate cancer in 22 patients (50%) and for testicular tumors in 19 patients (43%). No significant differences were observed in QRS width before and after surgery. However, QT and corrected QT (QTc) intervals were significantly prolonged following orchiectomy (QT 383 ± 42 to 403 ± 42 ms, p < 0.01, QTc 416 ± 35 to 433 ± 35 ms, p < 0.001). Post-surgery, there were no significant differences in the QT and QTc interval prolongation between the two groups.

conclusionOrchiectomy was associated with prolongation of QT/QTc intervals, particularly after bilateral orchiectomy. These findings suggest that patients after orchiectomy may be more susceptible to additional factors that prolong ventricular repolarization, including electrolyte abnormalities and QT-prolonging medications. Careful ECG monitoring may be warranted in selected patients.

Indexed as

ElectrocardiographyLong QT SyndromeOrchiectomyAgedHumansMaleMiddle AgedRetrospective StudiesTesticular NeoplasmsorchiectomyQT intervalsex differencestestosterone

Identifiers

PMID42371754
PMCPMC13313089

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