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Echocardiographically measured epicardial fat predicts new-onset atrial fibrillation after cardiac surgery
Gunturk, Ertugrul Emre; Topuz, Mustafa; Serhatlioglu, Faruk; Akkaya, Hasan.
  • Gunturk, Ertugrul Emre; Ömer Halisdemir University. Niğde. TR
  • Topuz, Mustafa; University of Health Sciences. Adana City Education and Research Hospital. Adana. TR
  • Serhatlioglu, Faruk; Ömer Halisdemir University. Niğde. TR
  • Akkaya, Hasan; Ömer Halisdemir University. Niğde. TR
Rev. bras. cir. cardiovasc ; 35(3): 339-345, May-June 2020. tab, graf
Article in English | LILACS, SES-SP | ID: biblio-1137254
ABSTRACT
Abstract

Objective:

The current study aims to investigate the role of echocardiographically measured epicardial adipose tissue (EAT) thickness in the prediction of new-onset atrial fibrillation (AF) following coronary artery bypass grafting (CABG) surgery.

Methods:

One hundred and twenty-four patients scheduled to undergo isolated on-pump CABG due to coronary artery disease were enrolled to the current study. Patient characteristics, medical history and perioperative variables were prospectively collected. EAT thickness was measured using transthoracic echocardiography (TTE). Any documented episode of new-onset postoperative AF (POAF) until discharge was defined as the study endpoint. Fortyfour participants with POAF served as AF group and 80 patients without AF served as Non-AF group.

Results:

Two groups were similar in terms of baseline echocardiographic and laboratory findings. In laboratory findings, the groups were similar in terms of the studied parameters, except N-terminal pro-brain natriuretic peptide (NT Pro-BNP), which was higher in AF group than in Non-AF group (P=0.035). The number of left internal mammary artery (LIMA) grafts was not different in both groups. AF group had higher cross-clamp (CC) and cardiopulmonary bypass (CPB) times than Non-AF group (P=0.01 and P<0.001). In multivariate logistic regression analysis, EAT was found an independent predictor for the development of POAF (OR 4.47, 95% CI 3.07-5.87, P=0.001).

Conclusion:

We have shown that EAT thickness is associated with increased risk of AF development and can be used as a prognostic marker for this purpose.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Atrial Fibrillation / Cardiac Surgical Procedures Type of study: Etiology study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Language: English Journal: Rev. bras. cir. cardiovasc Year: 2020 Type: Article Institution/Affiliation country: University of Health Sciences/TR / Ömer Halisdemir University/TR

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Full text: Available Index: LILACS (Americas) Main subject: Atrial Fibrillation / Cardiac Surgical Procedures Type of study: Etiology study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Language: English Journal: Rev. bras. cir. cardiovasc Year: 2020 Type: Article Institution/Affiliation country: University of Health Sciences/TR / Ömer Halisdemir University/TR