Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis
Yıl: 2020 Cilt: 21 Sayı: 6 Sayfa Aralığı: 430 - 435 Metin Dili: İngilizce DOI: 10.4274/imj.galenos.2020.35002 İndeks Tarihi: 21-05-2021
Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis
Öz: Introduction: In this study, we aimed to evaluate whether atrial electromechanical delay (EMD) and epicardial adipose tissue (EAT) thickness differed between ankylosing spondylitis (AS) patients and healthy subjects.Methods: This prospective, cross-sectional study included 43 consecutive AS patients followed up in the Physical Medicine and Rehabilitation Department of the University of Health Sciences Turkey, İstanbul Training and Research Hospital, between June 2019 and January 2020. The control group consisted of 42 age-and gender-matched healthy participants. The PA atrial EMD was accepted as the beginning of the P wave on the electrocardiograph and the begining of late diastolic wave (Am wave) on the tissue Doppler obtained by transthoracic echocardiography, and all EMD parameters, including lateral mitral annulus (lateral PA), septal mitral annulus (septal PA) and right ventricular tricuspid annulus (tricuspid PA), were calculated. The thickness of EAT was obtained from the thickest part of the right ventricular free wall at the end of diastole in the parasternal long axis window.Results: In AS patients, tissue Doppler measurements of PA lateral, PA septal and PA tricuspid were longer than the measurements in the control group. In addition, EAT thickness was significantly higher in AS patients than in the control group. There was a moderate correlation between interatrial EMD and C-reactive protein (r=0.445, p<0.001) and EAT thickness (r=0.451, p<0.001).Conclusion: In this study, interatrial EMD and intraatrial EMD were significantly higher in AS patients. In addition, the thickness of EAD was significantly greater in patients with AS. These findings suggest a higher tendency toward coronary artery disease and atrial fibrillation in patients with AS.
Anahtar Kelime: Ankilozan Spondilit Hastalarında Atriyal İleti Sürelerinin ve Epikardiyal Yağ Dokusu Kalınlığının Değerlendirilmesi
Öz: Amaç: Bu çalışmada, ankilozan spondilit (AS) hastaları ile tamamen sağlıklı kişiler arasında atriyal elektromekanik gecikme (EMG) ve epikardiyal yağ dokusu (EYD) kalınlığı bakımından fark olup olamadığını değerlendirmeyi amaçladık. Yöntemler: Bu prospektif kesitsel çalışmaya, Haziran 2019-Ocak 2020 tarihleri arasında Sağlık Bilimleri Üniversitesi, İstanbul Eğitim ve Araştırma Hastanesi Fiziksel Tıp ve Rehabilitasyon bölümünde takip edilen 43 ardışık AS hastası dahil edildi. Kontrol grubu, yaş ve cinsiyete göre eşleştirilen 42 sağlıklı katılımcıdan oluşuyordu. PA atriyal EMG elektrokardiyografide P dalgasının başlangıcı ve transtorasik ekokardiyografik ile elde edilen geç diyastolik dalga (Am dalgası) başlangıcı olarak kabul edildi ve tüm EMG parametreleri olan lateral mitral anulus PA, septal mitral anulus PA ve sağ ventrikül triküspit anulus PA hesaplandı. EYD kalınlığı, parasternal uzun eksen penceresindeki diyastolün sonundaki sağ ventrikül serbest duvarının en kalın kısmından elde edildi. Bulgular: AS hastalarında PA lateral, PA septal ve PA triküspit doku Doppler ölçümleri kontrol grubuna göre daha uzundu. Ek olarak, AS hastalarında EYD kalınlığı kontrol grubuna göre anlamlı olarak daha yüksekti. İnteratriyal EMG ile C-reaktif protein (r=0,445, p<0,001) ve EYD kalınlığı (r=0,451, p<0,001) arasında orta derecede bir korelasyon vardı. Sonuç: Bu çalışmada, AS hastalarında interatriyal EMG ve intraatriyal EMG AS hastalarında anlamlı derecede yüksekti. Ayrıca, EYD kalınlığı AS hastalarında anlamlı olarak daha fazlaydı. Bu bulgular, AS’li hastalarda koroner arter hastalığı ve atriyal fibrilasyon eğiliminin daha yüksek olduğunu gösterebilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Oz A, COSKUN H, Cinar T, efe s, Öz N, Ayca B, Karabag T, aytekin e (2020). Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis. , 430 - 435. 10.4274/imj.galenos.2020.35002 |
| Chicago | Oz Ahmet,COSKUN Hüdanur,Cinar Tufan,efe suleyman,Öz Nuran,Ayca Burak,Karabag Turgut,aytekin ebru Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis. (2020): 430 - 435. 10.4274/imj.galenos.2020.35002 |
| MLA | Oz Ahmet,COSKUN Hüdanur,Cinar Tufan,efe suleyman,Öz Nuran,Ayca Burak,Karabag Turgut,aytekin ebru Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis. , 2020, ss.430 - 435. 10.4274/imj.galenos.2020.35002 |
| AMA | Oz A,COSKUN H,Cinar T,efe s,Öz N,Ayca B,Karabag T,aytekin e Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis. . 2020; 430 - 435. 10.4274/imj.galenos.2020.35002 |
| Vancouver | Oz A,COSKUN H,Cinar T,efe s,Öz N,Ayca B,Karabag T,aytekin e Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis. . 2020; 430 - 435. 10.4274/imj.galenos.2020.35002 |
| IEEE | Oz A,COSKUN H,Cinar T,efe s,Öz N,Ayca B,Karabag T,aytekin e "Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis." , ss.430 - 435, 2020. 10.4274/imj.galenos.2020.35002 |
| ISNAD | Oz, Ahmet vd. "Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis". (2020), 430-435. https://doi.org/10.4274/imj.galenos.2020.35002 |
| APA | Oz A, COSKUN H, Cinar T, efe s, Öz N, Ayca B, Karabag T, aytekin e (2020). Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis. İstanbul Medical Journal, 21(6), 430 - 435. 10.4274/imj.galenos.2020.35002 |
| Chicago | Oz Ahmet,COSKUN Hüdanur,Cinar Tufan,efe suleyman,Öz Nuran,Ayca Burak,Karabag Turgut,aytekin ebru Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis. İstanbul Medical Journal 21, no.6 (2020): 430 - 435. 10.4274/imj.galenos.2020.35002 |
| MLA | Oz Ahmet,COSKUN Hüdanur,Cinar Tufan,efe suleyman,Öz Nuran,Ayca Burak,Karabag Turgut,aytekin ebru Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis. İstanbul Medical Journal, vol.21, no.6, 2020, ss.430 - 435. 10.4274/imj.galenos.2020.35002 |
| AMA | Oz A,COSKUN H,Cinar T,efe s,Öz N,Ayca B,Karabag T,aytekin e Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis. İstanbul Medical Journal. 2020; 21(6): 430 - 435. 10.4274/imj.galenos.2020.35002 |
| Vancouver | Oz A,COSKUN H,Cinar T,efe s,Öz N,Ayca B,Karabag T,aytekin e Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis. İstanbul Medical Journal. 2020; 21(6): 430 - 435. 10.4274/imj.galenos.2020.35002 |
| IEEE | Oz A,COSKUN H,Cinar T,efe s,Öz N,Ayca B,Karabag T,aytekin e "Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis." İstanbul Medical Journal, 21, ss.430 - 435, 2020. 10.4274/imj.galenos.2020.35002 |
| ISNAD | Oz, Ahmet vd. "Evaluation of Atrial Conduction Times and Epicardial Adipose Tissue Thickness in Patients with Ankylosing Spondylitis". İstanbul Medical Journal 21/6 (2020), 430-435. https://doi.org/10.4274/imj.galenos.2020.35002 |
