Epicardial adipose tissue may predict new-onset atrial fibrillation in patients with ST-segment elevation myocardial infarction
| Autor: | Hayati Eren, Sedat Akkan, Muhammed Bahadır Omar, Ülker Kaya, Mehmet Fatih Yilmaz, Lütfi Öcal |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Intra-Abdominal Fat Severity of Illness Index Percutaneous Coronary Intervention Predictive Value of Tests Risk Factors Internal medicine Atrial Fibrillation Humans Medicine ST segment In patient Hospital Mortality cardiovascular diseases Myocardial infarction Risk factor Aged business.industry Percutaneous coronary intervention Atrial fibrillation General Medicine Middle Aged medicine.disease Survival Analysis New onset atrial fibrillation ROC Curve Echocardiography Cardiology Epicardial adipose tissue ST Elevation Myocardial Infarction Female Cardiology and Cardiovascular Medicine business Pericardium |
| Zdroj: | Journal of Cardiovascular Medicine. |
| ISSN: | 1558-2027 |
| DOI: | 10.2459/jcm.0000000000001254 |
| Popis: | Background Atrial fibrillation is one of the most common arrhythmias after ST-segment elevation myocardial infarction (STEMI). In recent years, a strong correlation was found between epicardial adipose tissue (EAT) and the development of atrial fibrillation. In addition, EAT has been reported to be a predictor of new-onset atrial fibrillation development in different clinical situations. In this study, we aimed to determine the relationship between EAT thickness in patients with STEMI who underwent primary percutaneous coronary intervention (pPCI) and the development of new-onset atrial fibrillation during hospital follow-up. Material and methods Four hundred and thirteen consecutive patients [284 men (69%) and 129 women (31%)] with a mean age of 59 ± 11 years diagnosed with STEMI were included in this study. Atrial fibrillation developed in 52 (12.5%) patients during in-hospital follow-up and the remaining 361 patients were determined as the control group. There was no difference between the two groups in terms of age and sex. EAT thickness was measured using transthoracic echocardiography. Multiple regression analysis was performed to determine the independent predictors of atrial fibrillation. Results EAT thickness was higher in the group with atrial fibrillation than in the control group (P Conclusion EAT thickness is an important marker of atrial fibrillation development in STEMI patients in the post-pPCI period. We think that EAT thickness can be used as a cardioembolic risk factor in STEMI patients. |
| Databáze: | OpenAIRE |
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