| Autor: |
Tekin, Kudret Atakan, Yiğit, Fatih, Güneş, Ayhan, Zengin, Ahmet, Pençe, Halime Hanım, Karagöz, Ali, Aksoy, Rezan, Rabuş, Murat Bülent |
| Předmět: |
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| Zdroj: |
E Journal of Cardiovascular Medicine; 2023 Supplement, Vol. 11, p1-2, 2p |
| Abstrakt: |
Objective: The amount of epicardial adipose tissue (EAT) is associated with atrial fibrillation (AF). In the study, we measured epicardial adipose tissue thickness (EATT) and some hormone levels in the preoperative period in patients planned for coronary artery bypass grafting (CABG) surgery. We aimed to examine the relationship between these values and postoperative complications, especially postoperative atrial fibrillation (POAF). Methods: Between September 2020 and July 2021, 161 patients were included in the study. The patients' data were collected prospectively from their files. EATT was measured by echocardiogram (ECHO) and computed tomography (CT) and adiponectin, leptin, and resistin hormone levels were measured in the preoperative period for patients undergoing CABG operation. The study evaluated the relationship between those levels and some postoperative complications in patients. Results: A total of 161 patients, 130 male (80.7%) and 31 female (19.3%), were included in the study. The mean age was 61±9 years, body mass index (BMI) was 28.72±5.22 kg/m², and the waist circumference was 100.5±11.1 cm. POAF developed in 29 of the patients (18.0%). There was a statistically significant difference in terms of EATT and left ventricle end-diastolic diameter between the group with POAF and the groups without POAF (EATT in the group with POAF: 6.4±1.9 mm, EATT in the group without POAF: 5.5±1.8 mm) (p<0.05). In multivariate logistic regression analysis, epicardial adipose tissue thickness was shown to be an independent predictor factor in the development of POAF (OR: 1.24, CI: 1.01-1.53, p=0.04). A statistically significant difference was found between EATT and BMI and waist circumference (p=0.002 and p<0.001, respectively). Conclusions: Measuring EATT preoperatively can provide an idea about the development of POAF. A high correlation was found between EATT values measured by CT and ECHO. In this regard, ECHO can be considered a good alternative to CT, which is the gold standard in EATT measurement. ECHO is more accessible, reproducible, and cost-effective without radiation exposure. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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