title: A woman who lost weight at the cost of her heartbeat.
abstract: With increasing prevalence of obesity worldwide, the number of patients undergoing bariatric surgery is also rising. Although the incidence of adverse outcomes associated with bariatric surgery has reduced, the physiological compensatory changes occurring after weight loss can lead to some unavoidable outcomes. One such condition is sinus bradycardia. The pathophysiology behind this is well studied but there is little awareness about this outcome. Sinus bradycardia in this clinical setting is generally asymptomatic and does not require any treatment. Extensive cardiac workup and unnecessary treatment can be avoided by increasing awareness among healthcare providers.
authors.affiliation: Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, New York, USA.
authors.forename: Rushikesh
authors.initials: R
authors.lastname: Shah
authors.affiliation: SUNY Upstate Medical University, Syracuse, New York, USA.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Bansal
authors.affiliation: SUNY Upstate Medical University, Syracuse, New York, USA.
authors.forename: Divey
authors.initials: D
authors.lastname: Manocha
mesh_terms: D001919:Bradycardia / Q000209:etiology* / Q000503:physiopathology; D004562:Electrocardiography; D005260:Female; D015390:Gastric Bypass; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery; D015431:Weight Loss
references.citation: Ann Surg. 2004 Sep;240(3):416-23; discussion 423-4
references.pmid: 15319713
references.citation: Ann Surg. 2006 Jan;243(1):108-14
references.pmid: 16371744
references.citation: J Hypertens. 2001 Jun;19(6):1089-94
references.pmid: 11403358
references.citation: J Hypertens. 2007 Feb;25(2):439-47
references.pmid: 17211252
references.citation: Am J Cardiol. 2014 Mar 15;113(6):1049-53
references.pmid: 24462072