Association between epicardial adipose tissue and recurrence of atrial fibrillation after ablation: a propensity score-matched analysis

To assess the association between epicardial adipose tissue (EAT) index derived from cardiac computed tomography and atrial fibrillation (AF) recurrence after ablation by comparing with a propensity score matched non-recurrence AF patients. A total of 506 patients with AF recurrence and 174 patients...

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Bibliographic Details
Published in:The international journal of cardiovascular imaging 2022-08, Vol.38 (8), p.1865-1872
Main Authors: Yang, Min, Bao, Wenrui, Xu, Zhihan, Qin, Le, Zhang, Ning, Yan, Fuhua, Yang, Wenjie
Format: Article
Language:English
Subjects:
Ablation
Adipose tissue
Adipose Tissue - diagnostic imaging
Atria
Atrial Fibrillation - diagnostic imaging
Atrial Fibrillation - surgery
Body fat
Cardiac arrhythmia
Cardiac Imaging
Cardiology
Catheter Ablation - adverse effects
Catheter Ablation - methods
Computed tomography
Density
Fibrillation
Heart Atria
Humans
Imaging
Medicine
Medicine & Public Health
Original Paper
Pericardium
Predictive Value of Tests
Propensity Score
Radiology
Regression analysis
Retrospective Studies
Risk analysis
Risk factors
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Summary:To assess the association between epicardial adipose tissue (EAT) index derived from cardiac computed tomography and atrial fibrillation (AF) recurrence after ablation by comparing with a propensity score matched non-recurrence AF patients. A total of 506 patients with AF recurrence and 174 patients without AF recurrence were enrolled in this retrospective study. Density and volume of total EAT surrounding the heart (Total-EAT) and EAT surrounding the left atrium (LA-EAT) were measured, propensity score matching(PSM) analyses were used to compare the outcomes of the two groups while controlling for confounders. Total-EAT density (HU) value (-81.27 ± 4.67 vs -84.05 ± 3.84, P 
ISSN:1875-8312
1569-5794
1875-8312
1573-0743
DOI:10.1007/s10554-022-02557-4