Echocardiographically Measured Epicardial Fat Predicts New-onset Atrial Fibrillation after Cardiac Surgery

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dc.contributor.authorGunturk, Ertugrul Emre
dc.contributor.authorTopuz, Mustafa
dc.contributor.authorSerhatlioglu, Faruk
dc.contributor.authorAkkaya, Hasan
dc.date.accessioned2024-11-07T13:31:56Z
dc.date.available2024-11-07T13:31:56Z
dc.date.issued2020
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractObjective: 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. Forty-four 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.
dc.identifier.doi10.21470/1678-9741-2019-0388
dc.identifier.endpage345
dc.identifier.issn0102-7638
dc.identifier.issn1678-9741
dc.identifier.issue3
dc.identifier.pmid32549106
dc.identifier.scopus2-s2.0-85086319129
dc.identifier.scopusqualityQ3
dc.identifier.startpage339
dc.identifier.urihttps://doi.org/10.21470/1678-9741-2019-0388
dc.identifier.urihttps://hdl.handle.net/11480/15133
dc.identifier.volume35
dc.identifier.wosWOS:000536043300018
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSoc Brasil Cirurgia Cardiovasc
dc.relation.ispartofBrazilian Journal of Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectCoronary Artery Disease
dc.subjectMammary Arteries
dc.subjectCardiopulmonary Bypass
dc.subjectLogistic Models
dc.subjectAtrial Fibrilation
dc.subjectCoronary Artery Bypass
dc.subjectNatriuretic Peptide
dc.subjectBrain
dc.subjectEchocardiography
dc.titleEchocardiographically Measured Epicardial Fat Predicts New-onset Atrial Fibrillation after Cardiac Surgery
dc.typeArticle

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