caa a22 4500 606221514 CHVBK 20210128101129.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00380-013-0459-2 doi (NATIONALLICENCE)springer-10.1007/s00380-013-0459-2 The relationship between epicardial adipose tissue and ST-segment resolution in patients with acute ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention [Elektronische Daten] [Ertuğrul Zencirci, Aycan Zencirci, Aleks Değirmencioğlu, Gültekin Karakuş, Murat Uğurlucan, Kıvılcım Özden, Aysun Erdem, Ahmet Güllü, Ahmet Ekmekçi, Yalçın Velibey, Hatice Erer, Seden Çelik, Ahmet Akyol] The relationship between epicardial adipose tissue (EAT) and coronary artery disease has been predominantly demonstrated in the last two decades. The aim of this study was to investigate the predictive value of EAT thickness on ST-segment resolution that reflects myocardial reperfusion in patients undergoing primary percutaneous coronary intervention (pPCI) for acute ST-segment elevation myocardial infarction (STEMI). The present study prospectively included 114 consecutive patients (mean age 54±10years, range 35-83, 15 women) with first acute STEMI who underwent successful pPCI. ST-segment resolution (ΔSTR)<70% was accepted as ECG sign of no-reflow phenomenon. The EAT thickness was measured by two-dimensional echocardiography. EAT thickness was increased in patients with no-reflow (3.9±1.7 vs. 5.4±2, p=0.001). EAT thickness was also found to be inversely correlated with ΔSTR (r=−0.414, p=0.001). Multivariate logistic regression analysis demonstrated that EAT thickness independently predicted no-reflow (OR 1.43, 95%CI 1.13-1.82, p=0.003). Receiver operating characteristic curve analysis demonstrated good diagnostic accuracy for EAT thickness in predicting no-reflow [area under curve (AUC)=0.72, 95%CI 0.63-0.82, p<0.001]. In conclusion, increased EAT thickness may play an important role in the prediction of no-reflow in STEMI treated with pPCI. Springer Japan, 2014 Epicardial adipose tissue nationallicence Echocardiography nationallicence Myocardial infarction nationallicence No-reflow phenomenon nationallicence Primary percutaneous coronary intervention nationallicence Zencirci Ertuğrul Department of Cardiology, Acibadem Maslak Hospital, Buyukdere C. 40 Maslak/Sarıyer, 34457, Istanbul, Turkey aut Zencirci Aycan Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut Değirmencioğlu Aleks Department of Cardiology, Acibadem University School of Medicine, Istanbul, Turkey aut Karakuş Gültekin Department of Cardiology, Acibadem Maslak Hospital, Buyukdere C. 40 Maslak/Sarıyer, 34457, Istanbul, Turkey aut Uğurlucan Murat Department of Cardiovascular Surgery, Istanbul University School of Medicine, Istanbul, Turkey aut Özden Kıvılcım Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut Erdem Aysun Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut Güllü Ahmet Department of Cardiovascular Surgery, Acibadem University School of Medicine, Istanbul, Turkey aut Ekmekçi Ahmet Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut Velibey Yalçın Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut Erer Hatice Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut Çelik Seden Department of Cardiology, Acibadem University School of Medicine, Istanbul, Turkey aut Akyol Ahmet Department of Cardiology, Acibadem University School of Medicine, Istanbul, Turkey aut Heart and Vessels Springer Japan 30/2(2015-03-01), 147-153 0910-8327 30:2<147 2015 30 380 https://doi.org/10.1007/s00380-013-0459-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00380-013-0459-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zencirci Ertuğrul Department of Cardiology, Acibadem Maslak Hospital, Buyukdere C. 40 Maslak/Sarıyer, 34457, Istanbul, Turkey aut NATIONALLICENCE 700 1- Zencirci Aycan Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Değirmencioğlu Aleks Department of Cardiology, Acibadem University School of Medicine, Istanbul, Turkey aut NATIONALLICENCE 700 1- Karakuş Gültekin Department of Cardiology, Acibadem Maslak Hospital, Buyukdere C. 40 Maslak/Sarıyer, 34457, Istanbul, Turkey aut NATIONALLICENCE 700 1- Uğurlucan Murat Department of Cardiovascular Surgery, Istanbul University School of Medicine, Istanbul, Turkey aut NATIONALLICENCE 700 1- Özden Kıvılcım Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Erdem Aysun Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Güllü Ahmet Department of Cardiovascular Surgery, Acibadem University School of Medicine, Istanbul, Turkey aut NATIONALLICENCE 700 1- Ekmekçi Ahmet Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Velibey Yalçın Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Erer Hatice Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Çelik Seden Department of Cardiology, Acibadem University School of Medicine, Istanbul, Turkey aut NATIONALLICENCE 700 1- Akyol Ahmet Department of Cardiology, Acibadem University School of Medicine, Istanbul, Turkey aut NATIONALLICENCE 773 0- Heart and Vessels Springer Japan 30/2(2015-03-01), 147-153 0910-8327 30:2<147 2015 30 380