Epikardiyal yağ doku ve atriyal fibrilasyon arasındaki ilişki

Öz

Amaç: Çalışmamızın amacı ekokardiyografi ile ölçülen epikardiyal yağ doku (EYD) kalınlığı ile atriyal fibrilasyon (AF) ilişkisini araştırmaktır. Gereç ve yöntem: Çalışma grubu ayrıntılı ekokardiyografi yapılan 58 AF hastası ve 22 kontrol hastasından oluşmaktadır. EYD kalınlığı parasternal uzun eksen görüntüsünden elde edilen sağ ventrikül serbest duvarından ölçüldü. EYD ile AF arasındaki ilişki, AF için yapısal kalp hastalığı ve çoklu risk faktörlerinin düzenlenmesi ile incelenmiştir. Bulgular: Kontrol grubu ile karşılaştırıldığında EYD AF hastalarda belirgin olarak kalındır (6.5 ± 1.2 mm vs 5.8 ± 1.0 mm, p=0.01). Farklı AF tiplerinin alt grup analizinde, EYD permanent AF hastalarında paroksismal ve persistant AF hastalarından daha kalın saptanmıştır (sırasıyla 6.8 ± 0.9 mm vs 6,0 ± 1.2 mm and 5.8±1.2). Ayrıca, EYD kalınlığı sinüs ritmi, paroksismal ve persistent AF da benzer bulunmuştur. Sonuç: Ekokardiyografi ile ölçülen epikardiyal yağ doku kalınlığı atriyal fibrilasyonun süresi ile ilişkilidir.

Anahtar Kelimeler

• Epikardiyal yağ doku, ekokardiyografi, atrial fibrilasyon

Relation between epicardial fat tissue and atrial fibrillation

Abstract

Objectives: The objective of the study was to evaluate the relationship of epicardial fat thickness (EFT) assessed by echocardiography with atrial fibrillation (AF) in a clinical setting. Materials and methods: The study consisted of 58 AF patients who underwent echocardiography and a control group of 22 participants. The EFT thickness was measured on the free wall of the right ventricle from the parasternal long-axis view. The association between EFT and AF was studied by adjusting the risk factors for AF, including structural valvular diseases and multiple risk factors. Results: EFT was significantly increased in patients with AF as compared to participants in the control group (6.5 ± 1.2 mm vs. 5.8 ± 1.0 mm, p=0.01). In subgroup analysis of different types of AF, EFT was significantly increased in permanent AF in relation to paroxysmal and persistent AF (6.8 ± 0.9 mm vs. 6,0 ± 1.2 mm and 5.8±1.2 respectively). In addition, EFT measurements were comparable between sinus rhythm, paroxysmal and persistent AF. Conclusions: Epicardial fat thickness measured by echocardiography seems to be associated with the chronicity of AF.

Keywords

• Epicardial fat, echocardiography, atrial fibrillation

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