RESUMO
Atrial fibrillation (AF) is the most common cardiac arrhythmia.It is an irregular and often rapid heart rate that can increaseyour risk of strokes, heart failure and other heart-relatedcomplications. There are many reasons in the etiology of AF.Hiatal hernia (HH) is rare but one of them.Case report: In this case, we present a case of AF associatedwith HH. HH causes protrusion of the abdominal contents intothe chest cavity, and can directly impinge on the left atrium.Conclusion: The anatomical proximity of the left atrium toherniated gastric contents raises the possibility of mechanicalirritation of the atria, autonomic neural connections orinflammation that may increase the risk for AF.
RESUMO
OBJECTIVES: Nonalcoholic fatty pancreas disease (NAFPD) is characterized by excessive fat deposition in the pancreas in the absence of alcohol consumption. In this study, we aimed to detect a possible relationship between adipose tissue accumulation, prediabetes and diabetes. METHODS: This cross-sectional and retrospective study included 110 patients. Three groups were classified as controls, patients with prediabetes and patients with type 2 diabetes. The abdominal computed tomography (CT) attenuation measurement results of the pancreas were evaluated independently by two experienced radiologists. CT measurements and biochemical parameters were compared between study groups. The relationship between continuous variables was assessed by using one-way ANOVA. To determine the changes in the dependent variable for the effects on study groups, the independent variable was adjusted using ANCOVA. A p-value less than 0.05 was considered statistically significant. RESULTS: The presence of prediabetes and type 2 diabetes was correlated with a decrease in the mean Hounsfield Unit (HU) value of the pancreas (p=0.002). Age was determined to be an independent risk factor and was correlated with NAFPD (p=0.0001). When compared to the controls (p=0.041), 71% of patients with prediabetes and 67% of patients with type 2 diabetes were observed to have an increased incidence of NAFPD. Decreased serum amylase was found to be correlated with the mean HU value of the pancreas (p=0.043). CONCLUSION: NAFPD was independently correlated with both prediabetes and type 2 diabetes adjusted for age (p=0.0001) in this study. Additionally, age was determined to be an independent risk factor and was correlated with NAFPD.