{"doi":"10.1007/s00330-018-5793-4","title":"Left atrial epicardial adipose tissue radiodensity is associated with electrophysiological properties of atrial myocardium in patients with atrial fibrillation","abstract":null,"journal":"European Radiology","year":2019,"id":626469,"datarank":0.5333022092234121,"base_score":3.5553480614894135,"endowment":3.5553480614894135,"self_citation_contribution":0.5333022092234121,"citation_network_contribution":0.0,"self_endowment_contribution":0.5333022092234121,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":34,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1620528,"name":"Julie Brunereau","orcid":null,"position":1,"is_corresponding":false},{"id":1620529,"name":"Dominique Lacroix","orcid":null,"position":2,"is_corresponding":false},{"id":1043997,"name":"Sandro Ninni","orcid":"0000-0001-6179-6098","position":3,"is_corresponding":false},{"id":1620531,"name":"François Brigadeau","orcid":null,"position":4,"is_corresponding":false},{"id":780103,"name":"Didier Klug","orcid":"0000-0003-4548-876X","position":5,"is_corresponding":false},{"id":1620533,"name":"Benjamin Longere","orcid":null,"position":6,"is_corresponding":false},{"id":1044009,"name":"David Montaigne","orcid":"0000-0002-2346-863X","position":7,"is_corresponding":false},{"id":1620535,"name":"François Pontana","orcid":null,"position":8,"is_corresponding":false},{"id":1044000,"name":"Augustin Coisne","orcid":"0000-0002-1662-7874","position":9,"is_corresponding":false},{"id":1620527,"name":"Cedric Klein","orcid":"0000-0002-1189-1844","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Left atrial epicardial adipose tissue radiodensity is associated with electrophysiological properties of atrial myocardium in patients with atrial fibrillation","abstract":"<h4>Objective</h4>To evaluate whether the epicardial adipose tissue (EAT) phenotype is associated with the electrophysiological properties of adjacent atrial myocardium in patients with atrial fibrillation (AF).<h4>Methods</h4>Between January and May 2017, 30 consecutive patients referred for a first AF catheter ablation were prospectively included. For each patient, a pre-procedural computed tomography scan was performed to assess total and left atrial (LA) EAT amount and radiodensity. A detailed point-by-point voltage mapping using an electroanatomic mapping system was realized to assess the presence of LA low-voltage zone (LVZ).<h4>Results</h4>Ten patients (33.3%) presented at least one LVZ. Older age (65 ± 7 vs. 58 ± 10 years, p = 0.05) was the only clinical parameter associated with LVZ. Despite no greater LA-EAT thickness by CT scan (3.0 [2.6-3.5] mm vs. 2.8 [2.2-3.1] mm, p = 0.354), patients with LA-LVZ presented significantly lower LA-EAT radiodensity than patients with no LA-LVZ (- 101.8 ± 12.5 HU vs. - 90.4 ± 6.3 HU, p = 0.004). No difference between total-EAT volume (131 ± 61 cm<sup>3</sup> vs.107 ± 58 cm<sup>3</sup>, p = 0.361) and total-EAT radiodensity (- 106.8 ± 4.3 HU vs. - 102.4 ± 6.9 HU, p = 0.119) was found.<h4>Conclusion</h4>Low LA-EAT radiodensity is associated with the presence of LVZ in patients with medical history of AF.<h4>Key points</h4>• Cardiovascular risk factors are associated with low adipose tissue computed tomography attenuation. • Epicardial adipose tissue (EAT) has emerged as an important factor in the pathogenesis of metabolic-related cardiac diseases such as atrial fibrillation. • We showed that low left atrial EAT attenuation is associated with the presence of low-voltage zone, a surrogate for atrial fibrosis, within the adjacent myocardium.","is_dataset_classified":null,"base_score":3.5553480614894135,"endowment":3.5553480614894135,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"30402702","pmcid":null,"openalex_id":"https://openalex.org/W2899546082","authors":[],"funders":[],"total_grants":0,"fwci":1.5629,"citation_percentile":0.84986403,"influential_citations":0,"citation_trend":[{"year":2019,"count":1},{"year":2020,"count":5},{"year":2021,"count":4},{"year":2022,"count":9},{"year":2023,"count":4},{"year":2024,"count":3},{"year":2025,"count":6},{"year":2026,"count":2}],"oa_status":"closed","license":"http://www.springer.com/tdm","oa_locations":[{"url":"http://link.springer.com/content/pdf/10.1007/s00330-018-5793-4.pdf","host_type":"publisher"},{"url":"http://link.springer.com/article/10.1007/s00330-018-5793-4/fulltext.html","host_type":"publisher"},{"url":"https://doi.org/10.1007/s00330-018-5793-4","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/30402702","host_type":"repository"}],"fields_of_study":["Cardiovascular Disease and Adiposity","Atrial Fibrillation Management and Outcomes","Cardiovascular Function and Risk Factors","Adipose Tissue","Aged","Atrial Fibrillation","Body Surface Potential Mapping","Catheter Ablation","Female","Follow-Up Studies","Heart Atria","Humans","Male","Middle Aged","Pericardium","Prospective Studies","Risk Factors","Tomography, X-Ray Computed"],"mesh_terms":["Adipose Tissue","Aged","Atrial Fibrillation","Female","Follow-Up Studies","Heart Atria","Humans","Male","Middle Aged","Pericardium","Prospective Studies","Risk Factors","Tomography, X-Ray Computed","Catheter Ablation","Body Surface Potential Mapping"],"keywords":["Radiodensity","Medicine","Epicardial adipose tissue","Atrial fibrillation","Cardiology","Internal medicine","Adipose tissue","Computed tomography","Radiology","Radiography","Inflammation","fibrosis"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-04T14:00:03.392005Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}