Article ; Online: Incidence of new-onset atrial fibrillation in COVID-19 is associated with increased epicardial adipose tissue.
2021 Volume 64, Issue 2, Page(s) 383–391
Abstract: ... new-onset AF in patients admitted with COVID-19 disease.: Methods: We performed a retrospective ... hospitalized with COVID-19 at higher risk of developing new-onset AF. Patients with new-onset AF have worse ... Purpose: Coronary artery calcium (CAC) and epicardial adipose tissue (EAT) can predict AF ...
| Abstract | Purpose: Coronary artery calcium (CAC) and epicardial adipose tissue (EAT) can predict AF in the general population. We aimed to determine if CAC and EAT measured by computed tomographic (CT) scanning can predict new-onset AF in patients admitted with COVID-19 disease. Methods: We performed a retrospective, post hoc analysis of all patients admitted to Montefiore Medical Center with a confirmed COVID-19 diagnosis from March 1st to June 23rd, 2020, who had a non-contrast CT of the chest within 5 years prior to admission. We determined ordinal CAC scores and quantified the EAT volume and examined their relationship with inpatient mortality. Results: A total of 379 patients were analyzed. There were 16 events of new-onset AF (4.22%). Patients who developed AF during the index admission were more likely to be male (75 vs 47%, p < 0.001) and had higher EAT (129.5 [76.3-197.3] vs 91.0 [60.0-129.0] ml, p = 0.049). There were no differences on age (68 [56-71] vs 68 [58-76] years; p = 0.712), BMI (28.5 [25.3-30.8] vs 26.9 [23.1-31.8] kg/m Conclusion: Increased EAT measured by non-contrast chest CT identifies patients hospitalized with COVID-19 at higher risk of developing new-onset AF. Patients with new-onset AF have worse clinical outcomes. |
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| MeSH term(s) | Adipose Tissue/diagnostic imaging ; Aged ; Atrial Fibrillation/diagnostic imaging ; Atrial Fibrillation/epidemiology ; COVID-19 ; COVID-19 Testing ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Pericardium/diagnostic imaging ; Retrospective Studies ; Risk Factors | |||||
| Language | English | |||||
| Publishing date | 2021-07-07 | |||||
| Publishing country | Netherlands | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 1329179-8 | |||||
| ISSN | 1572-8595 ; 1383-875X | |||||
| ISSN (online) | 1572-8595 | |||||
| ISSN | 1383-875X | |||||
| DOI | 10.1007/s10840-021-01029-4 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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