Epicardial adipose tissue volume is not an independent predictor of atrial fibrillation recurrence after catheter ablation

Cruz, Inês; Fernandes, Sara Lopes; Diaz, Sílvia O.; Saraiva, Francisca; Barros, António S.; Primo, João; Sampaio, Francisco; Ladeiras-Lopes, Ricardo; Fontes‐Carvalho, Ricardo

doi:10.1016/j.rec.2022.11.006

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…The current study shows that total EAT did not present a positive correlation in multivariate analysis despite having a significant prognostic value for AF recurrence (AUC = 0.706, 95% CI: 0.56–0.82, p = 0.006). Similar results questioning the role of pericardial adipose tissue as an independent prognostic factor have been described in a recent study [ 40 ].…”

Section: Discussionsupporting

confidence: 88%

Association of Atrial Fibrillation Recurrence with Right Coronary Atherosclerosis and Increased Left Arterial Epicardial Fat Following Catheter Ablation—Results of a Multimodality Study

Bordi,

Benedek,

Kovács

et al. 2023

Life

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Background: Identification of predictors for atrial fibrillation (AF) recurrence after pulmonary vein isolation (PVI) can lead to better long-term results. Our aim was to investigate the association between novel CT imaging markers reflecting the severity of coronary atherosclerosis and the risk of recurrence following PVI. Methods: This study included 80 patients with paroxysmal/persistent AF who underwent PVI. The patients were divided into two groups: Group 1–23 patients with recurrence and Group 2–57 patients without recurrence. Results: Patients with recurrence presented with a more enlarged left atrial diameter and reduced left ventricle EF, as assessed by echocardiography. Elevated calcium scores and right coronary artery (RCA) stenosis were correlated with a higher risk of AF recurrence (25.38 ± 4.1% vs. 9.76 ± 2.32%, p = 0.001). Patients with AF recurrence presented a higher left atrial volume index (LAVI) (61.38 ± 11.12 mm3/m2 vs. 46.34 ± 12.27 mm3/m2, p < 0.0001). The bi-atrial volume index (BAVI) was similarly higher in the AF recurrence group (98.23 ± 14.44 mm3/m2 vs. 76.48 ± 17.61 mm3/m2, p < 0.0001). Increased EAT volumes located around the LA (EAT-LA) were correlated with recurrence (25.55 ± 6.37 vs. 15.54 ± 8.44, p < 0.0001). Conclusions: RCA stenosis, together with atrial volumes and EAT-AS evaluated by CCTA, is associated with the risk of AF recurrence following PVI.

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Section: Discussionsupporting

confidence: 88%

Association of Atrial Fibrillation Recurrence with Right Coronary Atherosclerosis and Increased Left Arterial Epicardial Fat Following Catheter Ablation—Results of a Multimodality Study

Bordi,

Benedek,

Kovács

et al. 2023

Life

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“…8,23- 25 A previous meta-analysis identified EAT as a predictor of AF recurrence after CA; 10 however, the results of individual studies are conflicting. [26][27][28] Studies have varied in their methods of evaluating EAT and LA-EAT, including quantification of total EAT and LA-EAT volumes, with or without indexing by body surface area on CT images, or artificial intelligence (AI) auto-segmentation 3D U-Net model for analyzing CT images from other institutions has not been validated. However, because the AI model was trained using images acquired by the 2 most popular brands of CT scanners, it holds promise for successful autosegmentation of CT images acquired from other hospitals.…”

Section: Study Limitationsmentioning

confidence: 99%

Feasibility of Auto-Quantified Epicardial Adipose Tissue in Predicting Atrial Fibrillation Recurrence After Catheter Ablation

Kuo,

Wang,

Chang

et al. 2024

Circ J

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in ablation therapy, many patients continue to experience complications and relapse of AF. Atrial structural remodeling is one of the main causes of AF occurrence and deterioration after CA. Previous studies have demonstrated distinct left atrial (LA) remodeling with increased LA volume, which is associated with a higher risk of AF recurrence after CA. 4 In addition, the other well-known marker, epicardial adipose tissue (EAT), which is an active A trial fibrillation (AF) is the most common sustained arrhythmia, significantly increasing the risk of adverse events such as ischemic stroke, coronary artery disease, heart failure, and mortality. 1 Catheter ablation (CA) is a well-established treatment for symptomatic anti-arrhythmic drug-refractory AF and can significantly improve the quality of life of patients with AF. 2,3 Despite ongoing medical and technological advances

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Sex-based differences and risk of recurrence in patients with atrial fibrillation undergoing pulmonary vein isolation

Aguiar-Neves,

Sá Carvalho,

Diaz

et al. 2024

International Journal of Cardiology

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Epicardial adipose tissue volume is not an independent predictor of atrial fibrillation recurrence after catheter ablation

Cited by 3 publications

References 27 publications

Association of Atrial Fibrillation Recurrence with Right Coronary Atherosclerosis and Increased Left Arterial Epicardial Fat Following Catheter Ablation—Results of a Multimodality Study

Association of Atrial Fibrillation Recurrence with Right Coronary Atherosclerosis and Increased Left Arterial Epicardial Fat Following Catheter Ablation—Results of a Multimodality Study

Feasibility of Auto-Quantified Epicardial Adipose Tissue in Predicting Atrial Fibrillation Recurrence After Catheter Ablation

Sex-based differences and risk of recurrence in patients with atrial fibrillation undergoing pulmonary vein isolation

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