Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation

Hasebe H, Yoshida K, Iida M, et al.
Oxford University Press
Published 2018
Publication Date:
2018-03-06
Publisher:
Oxford University Press
Print ISSN:
1099-5129
Electronic ISSN:
1532-2092
Topics:
Medicine
Published by:
_version_ 1836398819590275073
autor Hasebe H, Yoshida K, Iida M, et al.
beschreibung Aims Right atrial (RA) fibrillation (RAF) was previously characterized by initiation from RA ectopies, presence of a right-to-left dominant frequency gradient during atrial fibrillation (AF), and augmentation of the gradient by adenosine triphosphate infusion. We investigated structural characteristics of the bi-atria and epicardial adipose tissue (EAT) volume in patients with RAF. Methods and results By using multidetector computed tomography, RA, left atrial (LA), right and LA appendage (RAA and LAA, respectively) volumes, pulmonary vein (PV) sizes, and EAT volumes were compared between the RAF group ( n  = 8) and LA fibrillation (LAF) group ( n  = 32). Compared with the LAF group, the LA volume was smaller (median 81.3 [95% CI, 74.2–88.5] vs. 64.5 [54.8–74.2] mL/m 2 ; P  =   0.04), the LAA volume was smaller (10.1 [9.0–11.3] vs. 6.5 [4.5–8.5] mL/m 2 ; P  =   0.008), and the RAA volume was larger (10.8 [9.1–12.4] vs. 14.1 [11.6–16.6] mL/m 2 ; P  =   0.044) in the RAF group. The RA volume was not significantly different between the groups (73.6 [66.8–80.3] vs. 68.1 [57.1–79.1] mL/m 2 ; P  =   0.47). The RAF group had smaller PVs (1.44 [1.33–1.55] vs. 1.12 [0.94–1.30] cm 2 /m 2 for the left inferior PV; P  =   0.01). Both the LA-EAT and RA-EAT volumes were smaller in the RAF group than the LAF group (4.2 [2.8–5.6] vs. 9.1 [7.8–10.4] mL/m 2 ; P  〈   0.001 and 5.3 [4.3–6.3] vs. 9.5 [8.4–10.6] mL/m 2 ; P  〈   0.001, respectively). Conclusion RAF was structurally characterized by predominant RAA enlargement, small left atrium, and less EAT surrounding the atria. Electrical properties that determine the features of AF (RAF vs. LAF) may be genetically linked to structural properties.
citation_standardnr 6184501
datenlieferant ipn_articles
feed_id 6611
feed_publisher Oxford University Press
feed_publisher_url http://global.oup.com/
insertion_date 2018-03-06
journaleissn 1532-2092
journalissn 1099-5129
publikationsjahr_anzeige 2018
publikationsjahr_facette 2018
publikationsjahr_intervall 7984:2015-2019
publikationsjahr_sort 2018
publisher Oxford University Press
quelle Europace
relation https://academic.oup.com/europace/article/20/3/435/3109189?rss=1
search_space articles
shingle_author_1 Hasebe H, Yoshida K, Iida M, et al.
shingle_author_2 Hasebe H, Yoshida K, Iida M, et al.
shingle_author_3 Hasebe H, Yoshida K, Iida M, et al.
shingle_author_4 Hasebe H, Yoshida K, Iida M, et al.
shingle_catch_all_1 Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation
Aims Right atrial (RA) fibrillation (RAF) was previously characterized by initiation from RA ectopies, presence of a right-to-left dominant frequency gradient during atrial fibrillation (AF), and augmentation of the gradient by adenosine triphosphate infusion. We investigated structural characteristics of the bi-atria and epicardial adipose tissue (EAT) volume in patients with RAF. Methods and results By using multidetector computed tomography, RA, left atrial (LA), right and LA appendage (RAA and LAA, respectively) volumes, pulmonary vein (PV) sizes, and EAT volumes were compared between the RAF group ( n  = 8) and LA fibrillation (LAF) group ( n  = 32). Compared with the LAF group, the LA volume was smaller (median 81.3 [95% CI, 74.2–88.5] vs. 64.5 [54.8–74.2] mL/m 2 ; P  =   0.04), the LAA volume was smaller (10.1 [9.0–11.3] vs. 6.5 [4.5–8.5] mL/m 2 ; P  =   0.008), and the RAA volume was larger (10.8 [9.1–12.4] vs. 14.1 [11.6–16.6] mL/m 2 ; P  =   0.044) in the RAF group. The RA volume was not significantly different between the groups (73.6 [66.8–80.3] vs. 68.1 [57.1–79.1] mL/m 2 ; P  =   0.47). The RAF group had smaller PVs (1.44 [1.33–1.55] vs. 1.12 [0.94–1.30] cm 2 /m 2 for the left inferior PV; P  =   0.01). Both the LA-EAT and RA-EAT volumes were smaller in the RAF group than the LAF group (4.2 [2.8–5.6] vs. 9.1 [7.8–10.4] mL/m 2 ; P  <   0.001 and 5.3 [4.3–6.3] vs. 9.5 [8.4–10.6] mL/m 2 ; P  <   0.001, respectively). Conclusion RAF was structurally characterized by predominant RAA enlargement, small left atrium, and less EAT surrounding the atria. Electrical properties that determine the features of AF (RAF vs. LAF) may be genetically linked to structural properties.
Hasebe H, Yoshida K, Iida M, et al.
Oxford University Press
1099-5129
10995129
1532-2092
15322092
shingle_catch_all_2 Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation
Aims Right atrial (RA) fibrillation (RAF) was previously characterized by initiation from RA ectopies, presence of a right-to-left dominant frequency gradient during atrial fibrillation (AF), and augmentation of the gradient by adenosine triphosphate infusion. We investigated structural characteristics of the bi-atria and epicardial adipose tissue (EAT) volume in patients with RAF. Methods and results By using multidetector computed tomography, RA, left atrial (LA), right and LA appendage (RAA and LAA, respectively) volumes, pulmonary vein (PV) sizes, and EAT volumes were compared between the RAF group ( n  = 8) and LA fibrillation (LAF) group ( n  = 32). Compared with the LAF group, the LA volume was smaller (median 81.3 [95% CI, 74.2–88.5] vs. 64.5 [54.8–74.2] mL/m 2 ; P  =   0.04), the LAA volume was smaller (10.1 [9.0–11.3] vs. 6.5 [4.5–8.5] mL/m 2 ; P  =   0.008), and the RAA volume was larger (10.8 [9.1–12.4] vs. 14.1 [11.6–16.6] mL/m 2 ; P  =   0.044) in the RAF group. The RA volume was not significantly different between the groups (73.6 [66.8–80.3] vs. 68.1 [57.1–79.1] mL/m 2 ; P  =   0.47). The RAF group had smaller PVs (1.44 [1.33–1.55] vs. 1.12 [0.94–1.30] cm 2 /m 2 for the left inferior PV; P  =   0.01). Both the LA-EAT and RA-EAT volumes were smaller in the RAF group than the LAF group (4.2 [2.8–5.6] vs. 9.1 [7.8–10.4] mL/m 2 ; P  <   0.001 and 5.3 [4.3–6.3] vs. 9.5 [8.4–10.6] mL/m 2 ; P  <   0.001, respectively). Conclusion RAF was structurally characterized by predominant RAA enlargement, small left atrium, and less EAT surrounding the atria. Electrical properties that determine the features of AF (RAF vs. LAF) may be genetically linked to structural properties.
Hasebe H, Yoshida K, Iida M, et al.
Oxford University Press
1099-5129
10995129
1532-2092
15322092
shingle_catch_all_3 Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation
Aims Right atrial (RA) fibrillation (RAF) was previously characterized by initiation from RA ectopies, presence of a right-to-left dominant frequency gradient during atrial fibrillation (AF), and augmentation of the gradient by adenosine triphosphate infusion. We investigated structural characteristics of the bi-atria and epicardial adipose tissue (EAT) volume in patients with RAF. Methods and results By using multidetector computed tomography, RA, left atrial (LA), right and LA appendage (RAA and LAA, respectively) volumes, pulmonary vein (PV) sizes, and EAT volumes were compared between the RAF group ( n  = 8) and LA fibrillation (LAF) group ( n  = 32). Compared with the LAF group, the LA volume was smaller (median 81.3 [95% CI, 74.2–88.5] vs. 64.5 [54.8–74.2] mL/m 2 ; P  =   0.04), the LAA volume was smaller (10.1 [9.0–11.3] vs. 6.5 [4.5–8.5] mL/m 2 ; P  =   0.008), and the RAA volume was larger (10.8 [9.1–12.4] vs. 14.1 [11.6–16.6] mL/m 2 ; P  =   0.044) in the RAF group. The RA volume was not significantly different between the groups (73.6 [66.8–80.3] vs. 68.1 [57.1–79.1] mL/m 2 ; P  =   0.47). The RAF group had smaller PVs (1.44 [1.33–1.55] vs. 1.12 [0.94–1.30] cm 2 /m 2 for the left inferior PV; P  =   0.01). Both the LA-EAT and RA-EAT volumes were smaller in the RAF group than the LAF group (4.2 [2.8–5.6] vs. 9.1 [7.8–10.4] mL/m 2 ; P  <   0.001 and 5.3 [4.3–6.3] vs. 9.5 [8.4–10.6] mL/m 2 ; P  <   0.001, respectively). Conclusion RAF was structurally characterized by predominant RAA enlargement, small left atrium, and less EAT surrounding the atria. Electrical properties that determine the features of AF (RAF vs. LAF) may be genetically linked to structural properties.
Hasebe H, Yoshida K, Iida M, et al.
Oxford University Press
1099-5129
10995129
1532-2092
15322092
shingle_catch_all_4 Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation
Aims Right atrial (RA) fibrillation (RAF) was previously characterized by initiation from RA ectopies, presence of a right-to-left dominant frequency gradient during atrial fibrillation (AF), and augmentation of the gradient by adenosine triphosphate infusion. We investigated structural characteristics of the bi-atria and epicardial adipose tissue (EAT) volume in patients with RAF. Methods and results By using multidetector computed tomography, RA, left atrial (LA), right and LA appendage (RAA and LAA, respectively) volumes, pulmonary vein (PV) sizes, and EAT volumes were compared between the RAF group ( n  = 8) and LA fibrillation (LAF) group ( n  = 32). Compared with the LAF group, the LA volume was smaller (median 81.3 [95% CI, 74.2–88.5] vs. 64.5 [54.8–74.2] mL/m 2 ; P  =   0.04), the LAA volume was smaller (10.1 [9.0–11.3] vs. 6.5 [4.5–8.5] mL/m 2 ; P  =   0.008), and the RAA volume was larger (10.8 [9.1–12.4] vs. 14.1 [11.6–16.6] mL/m 2 ; P  =   0.044) in the RAF group. The RA volume was not significantly different between the groups (73.6 [66.8–80.3] vs. 68.1 [57.1–79.1] mL/m 2 ; P  =   0.47). The RAF group had smaller PVs (1.44 [1.33–1.55] vs. 1.12 [0.94–1.30] cm 2 /m 2 for the left inferior PV; P  =   0.01). Both the LA-EAT and RA-EAT volumes were smaller in the RAF group than the LAF group (4.2 [2.8–5.6] vs. 9.1 [7.8–10.4] mL/m 2 ; P  <   0.001 and 5.3 [4.3–6.3] vs. 9.5 [8.4–10.6] mL/m 2 ; P  <   0.001, respectively). Conclusion RAF was structurally characterized by predominant RAA enlargement, small left atrium, and less EAT surrounding the atria. Electrical properties that determine the features of AF (RAF vs. LAF) may be genetically linked to structural properties.
Hasebe H, Yoshida K, Iida M, et al.
Oxford University Press
1099-5129
10995129
1532-2092
15322092
shingle_title_1 Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation
shingle_title_2 Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation
shingle_title_3 Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation
shingle_title_4 Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation
timestamp 2025-06-30T23:33:08.798Z
titel Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation
titel_suche Differences in the structural characteristics and distribution of epicardial adipose tissue between left and right atrial fibrillation
topic WW-YZ
uid ipn_articles_6184501