ID | 113224 |
Title Alternative | EATV and AF Prevalence
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Author |
Oba, Kageyuki
Tomishiro Central Hospital
Maeda, Minetaka
Tomishiro Central Hospital
Maimaituxun, Gulinu
Tokushima University
Yamaguchi, Satoshi
Tomishiro Central Hospital
Arasaki, Osamu
Tomishiro Central Hospital
Yagi, Shusuke
Tokushima University
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Hirata, Yukina
Tokushima University
Nishio, Susumu
Tokushima University
Takao, Shoichiro
Tokushima University
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Kusunose, Kenya
Tokushima University
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Yamada, Hirotsugu
Tokushima University
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Soeki, Takeshi
Tokushima University
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Wakatsuki, Tetsuzo
Tokushima University
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Harada, Masafumi
Tokushima University
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Masuzaki, Hiroaki
University of the Ryukyus
Sata, Masataka
Tokushima University
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Shimabukuro, Michio
Tomishiro Central Hospital|Tokushima University|Fukushima Medical University
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Keywords | Atrial fibrillation
Epicardial adipose tissue volume
Obesity
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Content Type |
Journal Article
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Description | Background: Although increasing evidence suggests that epicardial adipose tissue volume (EATV) is associated with atrial fibrillation (AF), it is controversial whether there is a dose-response relationship of increasing EATV along the continuum of AF. We evaluated the effect of the EATV on the prevalence of paroxysmal AF (PAF) and persistent AF (PeAF) and the relationships with cardiac structure and functional remodeling.
Methods and Results: Subjects who underwent multidetector computed tomography (MDCT) coronary angiography because of symptoms suggestive of coronary artery disease were divided into sinus rhythm (SR) (n=112), PAF (n=133), and PeAF (n=71) groups. The EATV index (EATV/body surface area, mL/m2) was strongly associated with the prevalence of PAF and PeAF on the model adjusted for known AF risk factors. The effect of the EATV index on the prevalence of PeAF, but not on that of PAF, was modified by the left atrial (LA) dimension, suggesting that extension of the LA dimension is related to EATV expansion in PeAF. The cutoff value of the EATV index for the prevalence was higher in PeAF than in PAF (64 vs. 55 mL/m2, P<0.01). Conclusions: The EATV index is associated with the prevalence of PAF and PeAF, and its cutoff values are predictive for PAF and PeAF development independently of other AF risk factors. |
Journal Title |
Circulation Journal
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ISSN | 13469843
13474820
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NCID | AA11591968
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Publisher | The Japanese Circulation Society
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Volume | 82
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Issue | 7
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Start Page | 1778
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End Page | 1787
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Published Date | 2018-05-25
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EDB ID | |
DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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departments |
Medical Sciences
University Hospital
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