Journal of Research in Medical Sciences

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 24  |  Issue : 1  |  Page : 93-

The value of epicardial adipose tissue thickness for outcome prediction of patients undergoing coronary artery bypass grafting surgery


Ahmad Mirdamadi1, Mohsen Mirmohammadsadeghi2, Amir Banazadeh Dardashti3, Zahra Arabi3 
1 Department of Heart, Najafabad Branch, Islamic Azad University, Najafabad, Isfahan, Iran
2 Department of Cardiac Surgery, Isfahan University of Medical Science, Isfahan, Iran
3 Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence Address:
Dr. Mohsen Mirmohammadsadeghi
Department of Cardiac Surgery, Isfahan University of Medical Science, Isfahan
Iran

Background: The significant association between epicardial adipose tissue and cardiovascular risk factors as well as outcome of ischemic heart diseases has been recently proposed. We determined the association between epicardial adipose tissue thickness and in-hospital as well as 3-month outcome after coronary artery bypass grafting surgery (CABG). Materials and Methods: This cross-sectional study was performed on 78 consecutive patients who underwent CABG in our heart center. Associations between epicardial adipose tissue thickness and in-hospital as well as 3-month outcome after CABG were measured by logistic regression and value of epicardial fat thickness evaluated by receiver operating characteristic (ROC) curve analysis. Results: Patients in-intensive care unit (ICU) suffered a variety of events, which many of them were insignificant, but 23 events (29.4%) of 78 were considered as important. The most frequent complication occurred in ICU was atrial fibrillation (9%). The frequency of 3-month complications was 6.4%, including 3.8% rehospitalization, 1.3% reoperation, and 1.3% cardiac death. Ninety-day mortality rate was 1.3%. Mean epicardial adipose tissue thickness was significantly higher in those with in-ICU complications than those without complication (7.64 ± 2.80 mm vs. 6.16 ± 2.29 mm, P = 0.015); however, the difference for 90-day complications was statistically nonsignificant. According to ROC curve analysis, measuring epicardial adipose tissue thickness could moderately predict in-ICU complication (area under the curve = 0.65 8, 95% confidence interval: 0.536–0.779, P = 0.017). The best cut-off point of this adipose tissue thickness for predicting in-ICU complication was 6.5 mm with sensitivity of 65.9% and specificity of 58.8%. Conclusion: Epicardial adipose tissue thickness is a useful predicting parameter for in-ICU complications after CABG.


How to cite this article:
Mirdamadi A, Mirmohammadsadeghi M, Banazadeh Dardashti A, Arabi Z. The value of epicardial adipose tissue thickness for outcome prediction of patients undergoing coronary artery bypass grafting surgery.J Res Med Sci 2019;24:93-93


How to cite this URL:
Mirdamadi A, Mirmohammadsadeghi M, Banazadeh Dardashti A, Arabi Z. The value of epicardial adipose tissue thickness for outcome prediction of patients undergoing coronary artery bypass grafting surgery. J Res Med Sci [serial online] 2019 [cited 2019 Nov 15 ];24:93-93
Available from: http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2019;volume=24;issue=1;spage=93;epage=93;aulast=Mirdamadi;type=0