Correlation of epicardial adipose tissue with microvascular obstruction and its effect on new-onset atrial arrhythmias after PCI in STEMI patients
Abstract Epicardial adipose tissue (EAT) is associated with microvascular obstruction (MVO). However, its association with new-onset atrial arrhythmias after percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI) is unclear. We investigated the c...
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Nature Portfolio
2025-02-01
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| author | Haomin Lv Qianran Yin Shuguang Han Yinshuang Yang Yanfei Ren Qiuming Chi He Liu Yang Duan |
| author_facet | Haomin Lv Qianran Yin Shuguang Han Yinshuang Yang Yanfei Ren Qiuming Chi He Liu Yang Duan |
| author_sort | Haomin Lv |
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| description | Abstract Epicardial adipose tissue (EAT) is associated with microvascular obstruction (MVO). However, its association with new-onset atrial arrhythmias after percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI) is unclear. We investigated the correlation of cardiac magnetic resonance (CMR)-measured EAT with MVO and its effect on new-onset atrial arrhythmias after PCI in patients with STEMI. This study employed a single-centre retrospective design. Patients diagnosed with STEMI who underwent CMR after PCI between January 2019 and January 2023 were consecutively included and followed-up regularly. Participants were categorised based on whether they developed new-onset atrial arrhythmia after PCI. In comparison to the non-arrhythmia group, the atrial arrhythmia group exhibited higher values for age, heart rate, peak hs-TnT, peak NT-proBNP, EATV, LAES, LAED, and MVO, alongside reduced LVEF. A positive association was identified between EATV and MVO. Univariate analysis using logistic regression revealed that age, heart rate, hs-TnT level, NT-proBNP level, LVEF, EATV, LAES, LAED, and MVO were significant risk factors for atrial arrhythmia. Multivariate logistic regression analysis further identified age, LAES, EATV, and MVO as independent predictors of atrial arrhythmia. ROC curve analysis produced AUC values of 0.690 for age, 0.584 for LAES, 0.607 for MVO, and 0.769 for EATV. The EATV demonstrated a strong positive relationship with MVO after PCI in patients with STEMI. Age, LAES, EATV, and MVO were independent predictors of new-onset atrial arrhythmias and exhibited substantial prognostic significance. |
| format | Article |
| id | doaj-art-222946cf7783435abf6ecf56c8568382 |
| institution | OA Journals |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-222946cf7783435abf6ecf56c85683822025-08-20T02:13:19ZengNature PortfolioScientific Reports2045-23222025-02-011511810.1038/s41598-025-89568-yCorrelation of epicardial adipose tissue with microvascular obstruction and its effect on new-onset atrial arrhythmias after PCI in STEMI patientsHaomin Lv0Qianran Yin1Shuguang Han2Yinshuang Yang3Yanfei Ren4Qiuming Chi5He Liu6Yang Duan7Department of Cardiology, Huaibei Miner General HospitalDepartment of Cardiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Radiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Radiology, The Affiliated Hospital of Xuzhou Medical UniversityDepartment of Cardiology, The Affiliated Hospital of Xuzhou Medical UniversitySchool of Medical Informatics and Engineering, Xuzhou Medical UniversityDepartment of Radiology, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical UniversityDepartment of Cardiology, The Affiliated Hospital of Xuzhou Medical UniversityAbstract Epicardial adipose tissue (EAT) is associated with microvascular obstruction (MVO). However, its association with new-onset atrial arrhythmias after percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI) is unclear. We investigated the correlation of cardiac magnetic resonance (CMR)-measured EAT with MVO and its effect on new-onset atrial arrhythmias after PCI in patients with STEMI. This study employed a single-centre retrospective design. Patients diagnosed with STEMI who underwent CMR after PCI between January 2019 and January 2023 were consecutively included and followed-up regularly. Participants were categorised based on whether they developed new-onset atrial arrhythmia after PCI. In comparison to the non-arrhythmia group, the atrial arrhythmia group exhibited higher values for age, heart rate, peak hs-TnT, peak NT-proBNP, EATV, LAES, LAED, and MVO, alongside reduced LVEF. A positive association was identified between EATV and MVO. Univariate analysis using logistic regression revealed that age, heart rate, hs-TnT level, NT-proBNP level, LVEF, EATV, LAES, LAED, and MVO were significant risk factors for atrial arrhythmia. Multivariate logistic regression analysis further identified age, LAES, EATV, and MVO as independent predictors of atrial arrhythmia. ROC curve analysis produced AUC values of 0.690 for age, 0.584 for LAES, 0.607 for MVO, and 0.769 for EATV. The EATV demonstrated a strong positive relationship with MVO after PCI in patients with STEMI. Age, LAES, EATV, and MVO were independent predictors of new-onset atrial arrhythmias and exhibited substantial prognostic significance.https://doi.org/10.1038/s41598-025-89568-yEpicardial adipose tissueMicrovascular obstructionAtrial arrhythmiasST-segment elevation myocardial infarctionCardiac magnetic resonance |
| spellingShingle | Haomin Lv Qianran Yin Shuguang Han Yinshuang Yang Yanfei Ren Qiuming Chi He Liu Yang Duan Correlation of epicardial adipose tissue with microvascular obstruction and its effect on new-onset atrial arrhythmias after PCI in STEMI patients Scientific Reports Epicardial adipose tissue Microvascular obstruction Atrial arrhythmias ST-segment elevation myocardial infarction Cardiac magnetic resonance |
| title | Correlation of epicardial adipose tissue with microvascular obstruction and its effect on new-onset atrial arrhythmias after PCI in STEMI patients |
| title_full | Correlation of epicardial adipose tissue with microvascular obstruction and its effect on new-onset atrial arrhythmias after PCI in STEMI patients |
| title_fullStr | Correlation of epicardial adipose tissue with microvascular obstruction and its effect on new-onset atrial arrhythmias after PCI in STEMI patients |
| title_full_unstemmed | Correlation of epicardial adipose tissue with microvascular obstruction and its effect on new-onset atrial arrhythmias after PCI in STEMI patients |
| title_short | Correlation of epicardial adipose tissue with microvascular obstruction and its effect on new-onset atrial arrhythmias after PCI in STEMI patients |
| title_sort | correlation of epicardial adipose tissue with microvascular obstruction and its effect on new onset atrial arrhythmias after pci in stemi patients |
| topic | Epicardial adipose tissue Microvascular obstruction Atrial arrhythmias ST-segment elevation myocardial infarction Cardiac magnetic resonance |
| url | https://doi.org/10.1038/s41598-025-89568-y |
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