Association Between Epicardial Adipose Tissue Volumes on 3-Dimensional Reconstructed CT Images and Recurrence of Atrial Fibrillation After Catheter Ablation

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• Background: Whether epicardial adipose tissue (EAT) is independently associated with atrial fibrillation (AF) and outcome after catheter ablation (CA) for AF remains unclear. Methods and Results: Three-dimensional volume-rendering reconstructed images of EAT (total EAT) and EAT surrounding the left atrium (LA-EAT) were measured on 320-row multidetector computed tomography in 40 patients with AF (paroxysmal AF [PAF], n=24; persistent AF [PerAF], n=16) who underwent CA, and in 37 age-matched control patients. EAT volumes were as follows for the control, PAF and PerAF patients: total EAT, 138.3±45.2cm3 vs. 158.3±47.2cm3 vs. 226.4±93.3cm3 (P<0.01 for control or PAF vs. PerAF); LA-EAT, 32.9±14.5cm3 vs. 41.3±15.3cm3 vs. 66.8±35.1cm3 (P<0.001 for control or PAF vs. PerAF). EAT volume was independently associated with the presence of AF after adjustment for possible confounding factors. EAT volume was significantly greater in patients with lone AF than in control patients (total EAT, 132.8±33.3cm3 vs. 106.2±27.3cm3, P=0.021; LA-EAT: 34.0±10.6cm3 vs. 21.8±6.9cm3, P=0.0006). EAT volumes were greater in the 15 AF patients (37.5%) with post-ablation recurrence than in patients without recurrence (total EAT: 239.0±90.2cm3 vs. 153.5±42.7cm3, P=0.0002; LA-EAT: 69.6±35.5cm3 vs. 40.7±13.9cm3, P=0.0008). Conclusions: EAT volume increases in AF patients independent of conventional risk factors and is greater in patients with lone AF than in non-AF patients. EAT volume might be useful for predicting AF recurrence after CA. (Circ J 2011; 75: 2559-2565)

• 社団法人　日本循環器学会の論文
• 2011-10-25

著者

• HIRAYAMA Atsushi

  Osaka Police Hospital

• WATANABE Ichiro

  Division of Cardiology, Department of Medicine, Nihon University School of Medicine

• OKUMURA Yasuo

  Division of Cardiology, Department of Medicine, Nihon University School of Medicine

• OHKUBO Kimie

  Division of Cardiology, Department of Medicine, Nihon University School of Medicine

• NAKAI Toshiko

  Division of Cardiology, Department of Medicine, Nihon University School of Medicine

• HIRAYAMA Atsushi

  Division of Cardiology, Department of Medicine, Nihon University School of Medicine

• Kofune Tatsuya

  Division of Cardiology, Department of Medicine, Nihon University School of Medicine

• Hirayama A

  Division Of Cardiovascular Medicine Department Of Medicine Nihon University School Of Medicine

• 中山 智祥

  Department Of Cardiovascular Renal And Endocrine Medicines Research Center And Cardiovascular Functi

• Nagashima Koichi

  Division of Cardiology, Department of Medicine, Nihon University School of Medicine

• Katoh Masahiko

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Kofune Masayoshi

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Hirata Akio

  大阪警察病院 心臓セ

• Watanabe Ichiro

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Hirayama Atsushi

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Hirayama Atsushi

  日本大学 医学部内科学系循環器内科

• Hanatani Akihisa

  国立循環器病研究センター 心臓血管内科部門

• Nagashima Koichi

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Kofune Tatsuya

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Abeta Hiromi

  Department Of Cardiology Surugadai Nihon University Hospital

• Okumura Yasuo

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Okumura Yasuo

  Division Of Cardiology Department Of Cardiovascular Disease Nihon University School Of Medicine

• Nakayama Tomohiro

  Division Of Molecular Diagnostics Department Of Medical Research Science Nihon University School Of

• Nakai Toshiko

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Nakayama Tomohiro

  Division Of Receptor Biology Advanced Medical Research Center Nihon University School Of Medicine

• Ohkubo Kimie

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Nakai Toshiko

  The Second Department Of Internal Medicine Nihon University School Of Medicine

• Shimura Kazuma

  Department Of Cardiovascular Surgery Nihon University School Of Medicine

• Nakayama Tomohiro

  Second Department Of Internal Medicine Nihon University School Of Medicine

• Nakajima Teruo

  Second Department Of Internal Medicine Nihon University School Of Medicine

• Okubo Kimie

  Department Of Cardiology Nihon University School Of Medicine

• Komoriya Masakazu

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• Hirayama Atsushi

  Division Of Cardiology Department Of Internal Medicine Nihon University School Of Medicine

• Nakayama Tomohiro

  Division Of Molecular Diagnostics Advanced Medical Research Center Nihon University School Of Medici

• Mano Hiroaki

  Division Of Cardiology Department Of Medicine Nihon University School Of Medicine

• SONODA Kazumasa

  Division of Cardiology, Department of Medicine, Nihon University School of Medicine

• Nakajima Teruo

  Division Of Molecular Diagnostics Advanced Medical Research Center Nihon University School Of Medicine

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