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Interatrial septal fat thickness and left atrial stiffness are mechanistic links between nonalcoholic fatty liver disease and incident atrial fibrillation
Faculty
Medicine
Year:
2018
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohamed Salah Abdel-Moneim Gharib
Staff Zu Site
Abstract In Staff Site
Journal:
Echocardiography WILY Echocardiography
Volume:
Keywords :
Interatrial septal , thickness , left atrial stiffness
Abstract:
Background and Aim: Recently, a clear evidence suggests that nonalcoholic fatty liver disease (NAFLD) is associated with an increased risk of incident atrial fibrillation (AF). Yet, the underlying pathogenesis is speculative. Thereby, we aimed to investi- gate the hypothesis that, interatrial thickness (IAST) and left atrial stiffness (LASt) might have mechanistic links between NAFLD and AF. Methods: Echocardiography and speckle-tracking assessment of left atrial function, transient elastography (TE) of the liver, basal ECG, and Holter monitoring were per- formed in 180 patients with (NAFLD) and 80 subjects without NAFLD. Results: Patients with NAFLD had higher values of IAST (P < 0.001), LASt (<0.001), and E/e′ ratio (<0.003) compared with controls. IAST was correlated with LASt (r = 0.413; P < 0.001). 15.6% of patients with NAFLD had AF. More so, patients with increased IAST/LASt had a higher incidence of AF (25%) vs 3.8% in those with normal IAST/LASt. The LASt and IAST increased significantly in those with AF compared with those with- out (P < 0.001). Patients who experienced AF had higher values (P < 0.01) of TE (kPa). The degree of liver stiffness TE (kPa) was correlated with both IAST and LASt (r = 461, r = 0.535; P < 0.001). Furthermore, multivariate regression analysis showed that LASt and IAST were independent predictors of incident AF in subjects with NAFLD. Conclusions: Our data suggest that increased IAST and LASt index are independently as- sociated with incident atrial fibrillation in patients with NAFLD. Increased IAST and LASt index might provide mechanistic links between NAFLD and incident atrial fibrillation.
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Mohamed Salah Abdel-Moneim Gharib, "Determinants of Microvascular Dysfunction in Normotensive Offsprings of Hypertensive Parents", Wolters Kluwer - Medknow, 2019
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Department Related Publications
Khaled Mohamed Abdelsalam, "تقييم وظيفة البطين الايسر بعد العلاج الشرايين التاجيةبالقسطرة التداخلية", لايوجد, 1900
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Khaled Mohamed Abdelsalam, "ضيق الدعامات وتكرار الام الصدر بعد العلاج التداخلي للشرايين التاجيه وعلاقته بوظيفه الطبقة الخلوية", لايوجد, 1900
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Khaled Mohamed Abdelsalam, "قيمة ارتفاع مقطع س ت اثناء الاختبار الاجهادي لعضله القلي في تقييم حيوية العضلة", لايوجد, 1900
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Khaled Mohamed Abdelsalam, "امد الكيو ار اس في مرضي سن الصغيرة اليسرى كمؤشر لتغيير بنية البطين ونقص الترويه", لايوجد, 1900
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Muntasir Mustafa Ahmad, "قيمة الاجابة مضيق الشرايين التاجيين كمؤشر لضيق الشريان الكلوي", لايوجد, 1900
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