World journal of gastrointestinal surgery · 2025
Parameter changes and influencing factors in sixty patients with interventional surgery for liver cancer diagnoses.
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Zhi Lin, Chen Zhi-Hai, Deng Jun
Аннотация
BACKGROUND: The development of hepatocellular carcinoma (HCC) is influenced by multiple factors. Interventional therapy offers an effective treatment option for patients with unresectable intermediate-to-advanced HCC. Interventional therapy can induce electrocardiographic (ECG) abnormalities that may be associated with liver dysfunction, electrolyte disorders, and cardiac injury.
AIM: To explore the ECG alterations and determinants following interventional therapy in patients with HCC.
METHODS: Sixty patients undergoing interventional treatment for liver cancer were selected as study participants. According to the results of the dynamic ECG examination 1 day after surgery, the patients were divided into an abnormal group (n = 21) and a nonabnormal group (n = 39). With the help of dynamic ECG examination, the ECG parameters were compared and the baseline data of patients was recorded in the two groups.
RESULTS: The 24 hours QT interval variability, 24 hours normal atrial polarization to ventricular polarization (R-R) interval (standard deviation), 24 hours consecutive 5 minutes normal R-R interval, and 24 hours continuous 5 minutes normal R-R interval (standard deviation mean) were lower than patients in the nonabnormal group (P < 0.05). The logistic analysis showed that age > 60 years, liver function grade B, and postoperative body temperature 38 °C were risk factors for abnormal dynamic electrocardiogram in patients with liver cancer intervention (P < 0.05).
CONCLUSION: Interventional therapy for HCC can lead to ECG abnormalities, underscoring the clinical need for enhanced cardiac monitoring to mitigate myocardial complications.
AIM: To explore the ECG alterations and determinants following interventional therapy in patients with HCC.
METHODS: Sixty patients undergoing interventional treatment for liver cancer were selected as study participants. According to the results of the dynamic ECG examination 1 day after surgery, the patients were divided into an abnormal group (n = 21) and a nonabnormal group (n = 39). With the help of dynamic ECG examination, the ECG parameters were compared and the baseline data of patients was recorded in the two groups.
RESULTS: The 24 hours QT interval variability, 24 hours normal atrial polarization to ventricular polarization (R-R) interval (standard deviation), 24 hours consecutive 5 minutes normal R-R interval, and 24 hours continuous 5 minutes normal R-R interval (standard deviation mean) were lower than patients in the nonabnormal group (P < 0.05). The logistic analysis showed that age > 60 years, liver function grade B, and postoperative body temperature 38 °C were risk factors for abnormal dynamic electrocardiogram in patients with liver cancer intervention (P < 0.05).
CONCLUSION: Interventional therapy for HCC can lead to ECG abnormalities, underscoring the clinical need for enhanced cardiac monitoring to mitigate myocardial complications.