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Prevalence of glucose metabolism disorders and its association with left atrial remodelling before and after catheter ablation in patients with atrial fibrillation
Abstract Aims To investigate the exact prevalence of glucose metabolism disorders, and their impact on left atrial (LA) remodelling and reversibility in patients with atrial fibrillation (AF). Methods and results We examined 204 consecutive patients with AF who underwent their first catheter ablatio...
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Published in: | Europace (London, England) England), 2023-05, Vol.25 (5) |
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creator | Nakanishi, Koki Daimon, Masao Fujiu, Katsuhito Iwama, Kentaro Yoshida, Yuriko Hirose, Kazutoshi Mukai, Yasuhiro Yamamoto, Yuko Nakao, Tomoko Oshima, Tsukasa Matsubara, Takumi Shimizu, Yu Oguri, Gaku Kojima, Toshiya Hasumi, Eriko Morita, Hiroyuki Komuro, Issei |
description | Abstract
Aims
To investigate the exact prevalence of glucose metabolism disorders, and their impact on left atrial (LA) remodelling and reversibility in patients with atrial fibrillation (AF).
Methods and results
We examined 204 consecutive patients with AF who underwent their first catheter ablation (CA). Oral glucose tolerance test was used to evaluate glucose metabolism disorders in 157 patients without known diabetes mellitus (DM). Echocardiography was performed before and 6 months after CA. Oral glucose tolerance test identified abnormal glucose metabolism in 86 patients [11 with newly diagnosed DM, 74 with impaired glucose tolerance (IGT) and 1 with impaired fasting glucose (IFG)]. Ultimately, 65.2% of patients had abnormal glucose metabolism. Diabetes mellitus group had the worst LA reservoir strain and LA stiffness (both P < 0.05), while there was no significant difference in baseline LA parameters between normal glucose tolerance (NGT) group and IGT/IFG group. The prevalence of LA reverse remodelling (≥15% decrease in the LA volume index at 6 months after CA) was significantly higher in NGT group compared with IGT/IFG and DM group (64.1 vs. 38.6 vs. 41.5%, P = 0.006). Both DM and IFG/IGT carry a significant risk of lack of LA reverse remodelling independent of baseline LA size and AF recurrence.
Conclusion
Approximately 65% of patients with AF who underwent their first CA had abnormal glucose metabolism. Patients with DM had significantly impaired LA function compared with non-DM patients. Impaired glucose tolerance/IFG as well as DM carries significant risk of unfavourable LA reverse remodelling. Our observations may provide valuable information regarding the mechanisms and therapeutic strategies of glucose metabolism-related AF.
Graphical Abstract
Graphical abstract |
doi_str_mv | 10.1093/europace/euad119 |
format | article |
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Aims
To investigate the exact prevalence of glucose metabolism disorders, and their impact on left atrial (LA) remodelling and reversibility in patients with atrial fibrillation (AF).
Methods and results
We examined 204 consecutive patients with AF who underwent their first catheter ablation (CA). Oral glucose tolerance test was used to evaluate glucose metabolism disorders in 157 patients without known diabetes mellitus (DM). Echocardiography was performed before and 6 months after CA. Oral glucose tolerance test identified abnormal glucose metabolism in 86 patients [11 with newly diagnosed DM, 74 with impaired glucose tolerance (IGT) and 1 with impaired fasting glucose (IFG)]. Ultimately, 65.2% of patients had abnormal glucose metabolism. Diabetes mellitus group had the worst LA reservoir strain and LA stiffness (both P < 0.05), while there was no significant difference in baseline LA parameters between normal glucose tolerance (NGT) group and IGT/IFG group. The prevalence of LA reverse remodelling (≥15% decrease in the LA volume index at 6 months after CA) was significantly higher in NGT group compared with IGT/IFG and DM group (64.1 vs. 38.6 vs. 41.5%, P = 0.006). Both DM and IFG/IGT carry a significant risk of lack of LA reverse remodelling independent of baseline LA size and AF recurrence.
Conclusion
Approximately 65% of patients with AF who underwent their first CA had abnormal glucose metabolism. Patients with DM had significantly impaired LA function compared with non-DM patients. Impaired glucose tolerance/IFG as well as DM carries significant risk of unfavourable LA reverse remodelling. Our observations may provide valuable information regarding the mechanisms and therapeutic strategies of glucose metabolism-related AF.
Graphical Abstract
Graphical abstract</description><identifier>ISSN: 1099-5129</identifier><identifier>ISSN: 1532-2092</identifier><identifier>EISSN: 1532-2092</identifier><identifier>DOI: 10.1093/europace/euad119</identifier><identifier>PMID: 37155360</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Clinical Research</subject><ispartof>Europace (London, England), 2023-05, Vol.25 (5)</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-898fce6879d2425f6247d7acdaec0b5b287571174bb7913303037d9a1b0401f63</citedby><cites>FETCH-LOGICAL-c433t-898fce6879d2425f6247d7acdaec0b5b287571174bb7913303037d9a1b0401f63</cites><orcidid>0000-0002-5787-8004 ; 0000-0002-4285-1888 ; 0000-0002-0431-4934 ; 0000-0002-8879-0398 ; 0000-0002-5673-5829 ; 0000-0003-1804-3466 ; 0000-0002-7084-9830 ; 0000-0002-0714-7182 ; 0000-0002-1889-9291 ; 0000-0002-7616-3477 ; 0000-0002-7218-385X ; 0000-0002-1386-8293 ; 0000-0002-8946-2695 ; 0009-0001-0167-5371</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228626/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10228626/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,1601,27907,27908,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37155360$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakanishi, Koki</creatorcontrib><creatorcontrib>Daimon, Masao</creatorcontrib><creatorcontrib>Fujiu, Katsuhito</creatorcontrib><creatorcontrib>Iwama, Kentaro</creatorcontrib><creatorcontrib>Yoshida, Yuriko</creatorcontrib><creatorcontrib>Hirose, Kazutoshi</creatorcontrib><creatorcontrib>Mukai, Yasuhiro</creatorcontrib><creatorcontrib>Yamamoto, Yuko</creatorcontrib><creatorcontrib>Nakao, Tomoko</creatorcontrib><creatorcontrib>Oshima, Tsukasa</creatorcontrib><creatorcontrib>Matsubara, Takumi</creatorcontrib><creatorcontrib>Shimizu, Yu</creatorcontrib><creatorcontrib>Oguri, Gaku</creatorcontrib><creatorcontrib>Kojima, Toshiya</creatorcontrib><creatorcontrib>Hasumi, Eriko</creatorcontrib><creatorcontrib>Morita, Hiroyuki</creatorcontrib><creatorcontrib>Komuro, Issei</creatorcontrib><title>Prevalence of glucose metabolism disorders and its association with left atrial remodelling before and after catheter ablation in patients with atrial fibrillation</title><title>Europace (London, England)</title><addtitle>Europace</addtitle><description>Abstract
Aims
To investigate the exact prevalence of glucose metabolism disorders, and their impact on left atrial (LA) remodelling and reversibility in patients with atrial fibrillation (AF).
Methods and results
We examined 204 consecutive patients with AF who underwent their first catheter ablation (CA). Oral glucose tolerance test was used to evaluate glucose metabolism disorders in 157 patients without known diabetes mellitus (DM). Echocardiography was performed before and 6 months after CA. Oral glucose tolerance test identified abnormal glucose metabolism in 86 patients [11 with newly diagnosed DM, 74 with impaired glucose tolerance (IGT) and 1 with impaired fasting glucose (IFG)]. Ultimately, 65.2% of patients had abnormal glucose metabolism. Diabetes mellitus group had the worst LA reservoir strain and LA stiffness (both P < 0.05), while there was no significant difference in baseline LA parameters between normal glucose tolerance (NGT) group and IGT/IFG group. The prevalence of LA reverse remodelling (≥15% decrease in the LA volume index at 6 months after CA) was significantly higher in NGT group compared with IGT/IFG and DM group (64.1 vs. 38.6 vs. 41.5%, P = 0.006). Both DM and IFG/IGT carry a significant risk of lack of LA reverse remodelling independent of baseline LA size and AF recurrence.
Conclusion
Approximately 65% of patients with AF who underwent their first CA had abnormal glucose metabolism. Patients with DM had significantly impaired LA function compared with non-DM patients. Impaired glucose tolerance/IFG as well as DM carries significant risk of unfavourable LA reverse remodelling. Our observations may provide valuable information regarding the mechanisms and therapeutic strategies of glucose metabolism-related AF.
Graphical Abstract
Graphical abstract</description><subject>Clinical Research</subject><issn>1099-5129</issn><issn>1532-2092</issn><issn>1532-2092</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNqFkU1rFTEYhQex2Frdu5IsBRmbZCaTyUqk-AWFutB1yMebeyOZyZhkWvw9_lFzO7dFVyWL90DOefKS0zSvCH5HsOguYE1xUQaqUJYQ8aQ5I6yjLcWCPq0aC9EyQsVp8zznnxhjTgV71px2nDDWDfis-fMtwY0KMBtA0aFdWE3MgCYoSsfg84SszzFZSBmp2SJf6sw5Gq-KjzO69WWPAriCVEleBZRgihZC8PMOaXAxwV1OuQIJGVX2cBBKhy3vZ7RUBXPl3rGOGOd18mEzvWhOnAoZXh7nefPj08fvl1_aq-vPXy8_XLWm77rSjmJ0BoaRC0t7ytxAe265MlaBwZppOnLGCeG91lyQrsP1cCsU0bjHxA3defN-4y6rnsCaulRSQS7JTyr9llF5-f_N7PdyF28kwZSOAz0Q3hwJKf5aIRc5-Wzqb6gZ4polHQlhgxgYrla8WU2KOSdwD-8QLA_lyvty5bHcGnn9734Pgfs2q-HtZojr8jjuL6wNt-k</recordid><startdate>20230519</startdate><enddate>20230519</enddate><creator>Nakanishi, Koki</creator><creator>Daimon, Masao</creator><creator>Fujiu, Katsuhito</creator><creator>Iwama, Kentaro</creator><creator>Yoshida, Yuriko</creator><creator>Hirose, Kazutoshi</creator><creator>Mukai, Yasuhiro</creator><creator>Yamamoto, Yuko</creator><creator>Nakao, Tomoko</creator><creator>Oshima, Tsukasa</creator><creator>Matsubara, Takumi</creator><creator>Shimizu, Yu</creator><creator>Oguri, Gaku</creator><creator>Kojima, Toshiya</creator><creator>Hasumi, Eriko</creator><creator>Morita, Hiroyuki</creator><creator>Komuro, Issei</creator><general>Oxford University Press</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5787-8004</orcidid><orcidid>https://orcid.org/0000-0002-4285-1888</orcidid><orcidid>https://orcid.org/0000-0002-0431-4934</orcidid><orcidid>https://orcid.org/0000-0002-8879-0398</orcidid><orcidid>https://orcid.org/0000-0002-5673-5829</orcidid><orcidid>https://orcid.org/0000-0003-1804-3466</orcidid><orcidid>https://orcid.org/0000-0002-7084-9830</orcidid><orcidid>https://orcid.org/0000-0002-0714-7182</orcidid><orcidid>https://orcid.org/0000-0002-1889-9291</orcidid><orcidid>https://orcid.org/0000-0002-7616-3477</orcidid><orcidid>https://orcid.org/0000-0002-7218-385X</orcidid><orcidid>https://orcid.org/0000-0002-1386-8293</orcidid><orcidid>https://orcid.org/0000-0002-8946-2695</orcidid><orcidid>https://orcid.org/0009-0001-0167-5371</orcidid></search><sort><creationdate>20230519</creationdate><title>Prevalence of glucose metabolism disorders and its association with left atrial remodelling before and after catheter ablation in patients with atrial fibrillation</title><author>Nakanishi, Koki ; Daimon, Masao ; Fujiu, Katsuhito ; Iwama, Kentaro ; Yoshida, Yuriko ; Hirose, Kazutoshi ; Mukai, Yasuhiro ; Yamamoto, Yuko ; Nakao, Tomoko ; Oshima, Tsukasa ; Matsubara, Takumi ; Shimizu, Yu ; Oguri, Gaku ; Kojima, Toshiya ; Hasumi, Eriko ; Morita, Hiroyuki ; Komuro, Issei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-898fce6879d2425f6247d7acdaec0b5b287571174bb7913303037d9a1b0401f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Clinical Research</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakanishi, Koki</creatorcontrib><creatorcontrib>Daimon, Masao</creatorcontrib><creatorcontrib>Fujiu, Katsuhito</creatorcontrib><creatorcontrib>Iwama, Kentaro</creatorcontrib><creatorcontrib>Yoshida, Yuriko</creatorcontrib><creatorcontrib>Hirose, Kazutoshi</creatorcontrib><creatorcontrib>Mukai, Yasuhiro</creatorcontrib><creatorcontrib>Yamamoto, Yuko</creatorcontrib><creatorcontrib>Nakao, Tomoko</creatorcontrib><creatorcontrib>Oshima, Tsukasa</creatorcontrib><creatorcontrib>Matsubara, Takumi</creatorcontrib><creatorcontrib>Shimizu, Yu</creatorcontrib><creatorcontrib>Oguri, Gaku</creatorcontrib><creatorcontrib>Kojima, Toshiya</creatorcontrib><creatorcontrib>Hasumi, Eriko</creatorcontrib><creatorcontrib>Morita, Hiroyuki</creatorcontrib><creatorcontrib>Komuro, Issei</creatorcontrib><collection>Oxford Open Access Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Europace (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakanishi, Koki</au><au>Daimon, Masao</au><au>Fujiu, Katsuhito</au><au>Iwama, Kentaro</au><au>Yoshida, Yuriko</au><au>Hirose, Kazutoshi</au><au>Mukai, Yasuhiro</au><au>Yamamoto, Yuko</au><au>Nakao, Tomoko</au><au>Oshima, Tsukasa</au><au>Matsubara, Takumi</au><au>Shimizu, Yu</au><au>Oguri, Gaku</au><au>Kojima, Toshiya</au><au>Hasumi, Eriko</au><au>Morita, Hiroyuki</au><au>Komuro, Issei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of glucose metabolism disorders and its association with left atrial remodelling before and after catheter ablation in patients with atrial fibrillation</atitle><jtitle>Europace (London, England)</jtitle><addtitle>Europace</addtitle><date>2023-05-19</date><risdate>2023</risdate><volume>25</volume><issue>5</issue><issn>1099-5129</issn><issn>1532-2092</issn><eissn>1532-2092</eissn><abstract>Abstract
Aims
To investigate the exact prevalence of glucose metabolism disorders, and their impact on left atrial (LA) remodelling and reversibility in patients with atrial fibrillation (AF).
Methods and results
We examined 204 consecutive patients with AF who underwent their first catheter ablation (CA). Oral glucose tolerance test was used to evaluate glucose metabolism disorders in 157 patients without known diabetes mellitus (DM). Echocardiography was performed before and 6 months after CA. Oral glucose tolerance test identified abnormal glucose metabolism in 86 patients [11 with newly diagnosed DM, 74 with impaired glucose tolerance (IGT) and 1 with impaired fasting glucose (IFG)]. Ultimately, 65.2% of patients had abnormal glucose metabolism. Diabetes mellitus group had the worst LA reservoir strain and LA stiffness (both P < 0.05), while there was no significant difference in baseline LA parameters between normal glucose tolerance (NGT) group and IGT/IFG group. The prevalence of LA reverse remodelling (≥15% decrease in the LA volume index at 6 months after CA) was significantly higher in NGT group compared with IGT/IFG and DM group (64.1 vs. 38.6 vs. 41.5%, P = 0.006). Both DM and IFG/IGT carry a significant risk of lack of LA reverse remodelling independent of baseline LA size and AF recurrence.
Conclusion
Approximately 65% of patients with AF who underwent their first CA had abnormal glucose metabolism. Patients with DM had significantly impaired LA function compared with non-DM patients. Impaired glucose tolerance/IFG as well as DM carries significant risk of unfavourable LA reverse remodelling. Our observations may provide valuable information regarding the mechanisms and therapeutic strategies of glucose metabolism-related AF.
Graphical Abstract
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source | Oxford Journals Online; PubMed Central; Oxford Open Access Journals |
subjects | Clinical Research |
title | Prevalence of glucose metabolism disorders and its association with left atrial remodelling before and after catheter ablation in patients with atrial fibrillation |
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