The relationship between epicardial fat tissue thickness and frequent ventricular premature beats
| Autor: | Abdulselam Ilter, Omer Gedikli, Merih Kutlu, Abdulkadir Kırış, Mesut Aydin, Mustafa Öztürk, Gülhanım Kırış, Sahin Kaplan, Oguzhan Ekrem Turan |
|---|---|
| Přispěvatelé: | Zonguldak Bülent Ecevit Üniversitesi |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Intra-Abdominal Fat Heart disease ventricular premature beat Logistic regression Sex Factors Internal medicine Diabetes mellitus medicine Pericardium Humans ventricular arrhythmia Aged Aged 80 and over business.industry Age Factors epicardial fat tissue Middle Aged medicine.disease Ventricular Premature Complexes Epicardial fat medicine.anatomical_structure Socioeconomic Factors Echocardiography Cardiology Population study Female Ventricular premature beats Cardiology and Cardiovascular Medicine business |
| Zdroj: | Kardiologia polska. 73(7) |
| ISSN: | 1897-4279 0003-6013 |
| Popis: | WOS: 000360131000008 PubMed: 25733170 Background: Ventricular premature beats (VPBs) are one of the most common rhythm abnormalities. Structural heart diseases such as myocardial hypertrophy and left ventricular dysfunction are associated with VPBs. However, the exact mechanism of VPBs in patients without structural heart disease has not been revealed yet. Epicardial fat tissue (EFT) is a visceral fat around the heart. Increased EFT thickness is associated with myocardial structural and ultrastructural myocardial abnormalities, which may play a role in the development of VPBs. Aims: To evaluate the possible relationship between EFT thickness and frequent VPBs. Methods and results: The study population consisted of 50 patients with VPBs and 50 control subjects. Frequent VPBs were defined as the presence of more than 10 beats per hour assessed by 24-h Holter electrocardiography monitoring. EFT thickness was measured by transthoracic echocardiography. Multivariable logistic regression analysis was used to assess factors related with frequent VPBs. Baseline demographic and biochemical features including age, gender, and rates of hypertension and diabetes mellitus were similar in both groups. EFT thickness was significantly higher in patients with frequent VPBs than in controls (3.3 +/- 1.3 mm vs. 2.2 +/- 0.8 mm, p < 0.001). In multivariable logistic regression analysis, EFT thickness was independently associated with VPB frequency (B = 1.030, OR = 2.802, p < 0.001). Conclusions: Patients with frequent VPBs had increased EFT thickness compared to control subjects. EFT thickness was independently associated with frequent VPBs. |
| Databáze: | OpenAIRE |
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