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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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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cited_by cdi_FETCH-LOGICAL-c375t-366af717e2a58d029be73c23fe26ba6fe95fc5157dadb4e8a20776a9096a3c8a3
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container_title The international journal of cardiovascular imaging
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creator Yang, Min
Bao, Wenrui
Xu, Zhihan
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Zhang, Ning
Yan, Fuhua
Yang, Wenjie
description 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 
doi_str_mv 10.1007/s10554-022-02557-4
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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 &lt; 0.001) and LA-EAT density (HU) value (-76.16 ± 4.11 vs -78.83 ± 3.81, P &lt; 0.001) were significantly higher in the patients with AF recurrence than in those without recurrence. LA-EAT density (HU) value was significantly higher than Total-EAT (− 77.50 ± 4.18 vs -82.66 ± 4.49, P = 0.000). In a multiple logistic regression analysis, a higher LA-EAT density (odds ratio: 1.12; 95% CI: 1.02–1.22, p = 0.015) was significantly associated with the AF recurrence after adjusting for other risk factors. 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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 &lt; 0.001) and LA-EAT density (HU) value (-76.16 ± 4.11 vs -78.83 ± 3.81, P &lt; 0.001) were significantly higher in the patients with AF recurrence than in those without recurrence. LA-EAT density (HU) value was significantly higher than Total-EAT (− 77.50 ± 4.18 vs -82.66 ± 4.49, P = 0.000). In a multiple logistic regression analysis, a higher LA-EAT density (odds ratio: 1.12; 95% CI: 1.02–1.22, p = 0.015) was significantly associated with the AF recurrence after adjusting for other risk factors. 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ispartof The international journal of cardiovascular imaging, 2022-08, Vol.38 (8), p.1865-1872
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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
title Association between epicardial adipose tissue and recurrence of atrial fibrillation after ablation: a propensity score-matched analysis
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