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Electrocardiographic modifications induced by breast implants.

Sok-Sithikun Bun1, Philippe Taghji2, Abdelkarim Errahmouni3

  • 1Department of Cardiology, Princess Grace Hospital, Monaco, Monaco (Principality).

Clinical Cardiology
|March 16, 2019
PubMed
Summary
This summary is machine-generated.

Electrocardiograms (ECG) in women with breast implants (BI) are frequently abnormal, with 42-46% showing irregularities. These findings suggest ECG interpretation may be unreliable in this population.

Keywords:
ECG modificationsbreasts implants

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Area of Science:

  • Cardiology
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Echocardiography can be challenging with breast implants (BI).
  • The impact of BI on electrocardiograms (ECG) is not well-understood.
  • This study investigates potential ECG modifications in women with BI.

Purpose of the Study:

  • To evaluate if breast implants affect electrocardiogram (ECG) readings.
  • To determine the frequency of abnormal ECG findings in women with BI.
  • To assess the potential for misleading ECG interpretations in this demographic.

Main Methods:

  • ECG from 28 women with BI (Group 1) and a control group without BI (Group 2) were analyzed.
  • Two experienced electrophysiologists (EP1, EP2) blindly assessed the ECGs.
  • ECGs were analyzed for abnormalities, unaware of the patient's BI status.

Main Results:

  • 42% of ECGs from women with BI were deemed abnormal by EP1; 46% by EP2.
  • Common abnormalities included negative T waves, ST depression, and absent R wave progression.
  • In contrast, only 5% of control group ECGs were abnormal for EP1, and none for EP2 (P=0.0002).

Conclusions:

  • A significant proportion of ECGs from women with breast implants exhibit abnormalities.
  • Expert interpretation of ECGs in women with BI may be unreliable.
  • Further research is needed to understand the clinical implications of these ECG findings.