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Epicardial adipose tissue is associated with higher recurrence risk after catheter ablation in atrial fibrillation patients: a systematic review and meta-analysis
OBJECTIVE: Our study aimed to investigate the association between epicardial adipose tissue (EAT) and atrial fibrillation (AF) recurrence risk after catheter ablation. METHODS: We searched PubMed, Embase, and Cochrane Library databases up to November 30, 2021 without language restrictions. Outcome w...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188706/ https://www.ncbi.nlm.nih.gov/pubmed/35690712 http://dx.doi.org/10.1186/s12872-022-02703-9 |
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author | Chen, Jun Mei, Ziwei Yang, Yang Dai, Chuxing Wang, Yimin Zeng, Rui Liu, Qiang |
author_facet | Chen, Jun Mei, Ziwei Yang, Yang Dai, Chuxing Wang, Yimin Zeng, Rui Liu, Qiang |
author_sort | Chen, Jun |
collection | PubMed |
description | OBJECTIVE: Our study aimed to investigate the association between epicardial adipose tissue (EAT) and atrial fibrillation (AF) recurrence risk after catheter ablation. METHODS: We searched PubMed, Embase, and Cochrane Library databases up to November 30, 2021 without language restrictions. Outcome was the relative risk (RR) of EAT contributes to AF recurrence after catheter ablation. The RR and 95% confidence interval (CI) was pooled by the random-effect model. RESULTS: 10 studies that contained 1840 AF patients were included in our study. The result of this study showed that EAT amount was associated with higher risk of AF recurrence after catheter ablation (RR = 1.06, 95% CI 1.02–1.11, P = 0.005) and EAT related thickness was a risk factor for AF recurrence after catheter ablation (RR = 1.73, 95% CI 1.04–2.87, P = 0.040). Sub-analysis showed that EAT was strongly associated with higher risk of AF recurrence common in Asian population (RR = 1.25, 95% CI 1.10–1.43, P < 0.001), patients aged ≤ 60 years old (RR = 2.01, 95% CI 1.18–3.44, P = 0.010), and follow-up more than 1 year (RR = 1.06, 95% CI 1.01–1.11, P = 0.020). CONCLUSION: The meta-analysis demonstrated that EAT related thickness seems to be the marker most strongly associated with a greater risk of AF recurrences after catheter ablation. It should be included into risk stratification for predicting AF recurrent before catheter ablation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-022-02703-9. |
format | Online Article Text |
id | pubmed-9188706 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-91887062022-06-13 Epicardial adipose tissue is associated with higher recurrence risk after catheter ablation in atrial fibrillation patients: a systematic review and meta-analysis Chen, Jun Mei, Ziwei Yang, Yang Dai, Chuxing Wang, Yimin Zeng, Rui Liu, Qiang BMC Cardiovasc Disord Research OBJECTIVE: Our study aimed to investigate the association between epicardial adipose tissue (EAT) and atrial fibrillation (AF) recurrence risk after catheter ablation. METHODS: We searched PubMed, Embase, and Cochrane Library databases up to November 30, 2021 without language restrictions. Outcome was the relative risk (RR) of EAT contributes to AF recurrence after catheter ablation. The RR and 95% confidence interval (CI) was pooled by the random-effect model. RESULTS: 10 studies that contained 1840 AF patients were included in our study. The result of this study showed that EAT amount was associated with higher risk of AF recurrence after catheter ablation (RR = 1.06, 95% CI 1.02–1.11, P = 0.005) and EAT related thickness was a risk factor for AF recurrence after catheter ablation (RR = 1.73, 95% CI 1.04–2.87, P = 0.040). Sub-analysis showed that EAT was strongly associated with higher risk of AF recurrence common in Asian population (RR = 1.25, 95% CI 1.10–1.43, P < 0.001), patients aged ≤ 60 years old (RR = 2.01, 95% CI 1.18–3.44, P = 0.010), and follow-up more than 1 year (RR = 1.06, 95% CI 1.01–1.11, P = 0.020). CONCLUSION: The meta-analysis demonstrated that EAT related thickness seems to be the marker most strongly associated with a greater risk of AF recurrences after catheter ablation. It should be included into risk stratification for predicting AF recurrent before catheter ablation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-022-02703-9. BioMed Central 2022-06-11 /pmc/articles/PMC9188706/ /pubmed/35690712 http://dx.doi.org/10.1186/s12872-022-02703-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Chen, Jun Mei, Ziwei Yang, Yang Dai, Chuxing Wang, Yimin Zeng, Rui Liu, Qiang Epicardial adipose tissue is associated with higher recurrence risk after catheter ablation in atrial fibrillation patients: a systematic review and meta-analysis |
title | Epicardial adipose tissue is associated with higher recurrence risk after catheter ablation in atrial fibrillation patients: a systematic review and meta-analysis |
title_full | Epicardial adipose tissue is associated with higher recurrence risk after catheter ablation in atrial fibrillation patients: a systematic review and meta-analysis |
title_fullStr | Epicardial adipose tissue is associated with higher recurrence risk after catheter ablation in atrial fibrillation patients: a systematic review and meta-analysis |
title_full_unstemmed | Epicardial adipose tissue is associated with higher recurrence risk after catheter ablation in atrial fibrillation patients: a systematic review and meta-analysis |
title_short | Epicardial adipose tissue is associated with higher recurrence risk after catheter ablation in atrial fibrillation patients: a systematic review and meta-analysis |
title_sort | epicardial adipose tissue is associated with higher recurrence risk after catheter ablation in atrial fibrillation patients: a systematic review and meta-analysis |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188706/ https://www.ncbi.nlm.nih.gov/pubmed/35690712 http://dx.doi.org/10.1186/s12872-022-02703-9 |
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