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Objective:  Epicardial fat tissue is known to be arrhythmogenic. In this study we aimed to evaluate if this arrhythmogenic effect affects cardioversion (CV) success in patients with atrial fibrillation (AF). Materials and Method:  We studied 100 AF patients treated with CV in order to restore sinus rhythm. Patients were divided into two groups;  Group 1 patients were successfuly restored sinus rhythm and group 2 were failed to restore sinus rhythm. Demographic characteristics of study population, standard 2 dimensional Doppler and tissue Doppler echocardiographic findings were recorded. Results:  There were 94 patients (59.5±14.1, years) in group 1 and 6 patients (59±8.7, years) in group 2. There were no differences between the two groups in terms of patient demographics. Basic echocardiographic parameters suchas left atrial diameter, left ventricular diameter, septal thicness, ejection fraction, and left ventricular mass index were also similar between two groups. Epicardial fat thickness (EFT) was higher in group 2 patients (p=0.002). Conclusion:  Increased epicardial fat thickness found to be related with reduced CV success rates in the AF patients. Amac: Epikardiyal yag dokusunun aritmojenik etkileri bilinmektedir. Bu calismada bu aritmojenik etkinin kardiyoversiyon (KV) basarisi uzerine olan etkisinin arastirilmasi amaclanmistir. Gerec ve Yontemler: Calismaya sinus ritminin saglanmasi amaciyla KV uygulanan 100 atriyal fibrilasyon (AF) hastasi alinmistir. Hastalar iki gruba ayrildi;  sinus ritmi saglanan hastalar grup 1, saglanamayan hastalar grup 2 olarak degerlendirildi.  Calisma populasyonunun karakteristik ozellikleri, standart 2 boyutlu ekokardiyografik olcumler ve doku doppler olcumleri kaydedildi. Bulgular: G rup 1’de 94 ( ortalama yas 59,5+-14,1) grup 2’de 6  (ortalama yas 59+-8,7) hasta vardi. Temel hasta ozellikleri acisindan gruplar arasinda fark yoktu. Sol atriyum capi, sol ventrikul caplari, septal duvar kalinliklari, ejeksiyon fraksiyonu ve sol ventrikul kitle indeksi gibi ekokardiyografik parametreler acisindan her iki grup benzerdi. Epikardiyal yag kalinligi (EYK) grup 2 hastalarda daha yuksekti (p=0,002). Sonuc: Artmis EYK, AF hastalarinda KV basari oranlarinda azalma ile iliskili bulunmustur.

sakarya tıp dergisi

Relationship Between Epicardial Fat Thickness and Cardioversion Success in Patients with Atrial Fibrillation / Atriyal Fibrilasyon Hastalarında Epikardiyal Yağ Kalınlığı ile Kardiyoversiyon Başarısı Arasındaki İlişki