Epicardial Adipose Tissue and Cardiac Arrhythmias: Focus on Atrial Fibrillation Article Swipe
Maddalena Conte
,
Laura Petraglia
,
Serena Cabaro
,
Vincenza Valerio
,
Paolo Poggio
,
Emanuele Pilato
,
Emilio Attena
,
Vincenzo Russo
,
Adele Ferro
,
Pietro Formisano
,
Dario Leosco
,
Valentina Parisi
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3389/fcvm.2022.932262
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3389/fcvm.2022.932262
Atrial Fibrillation (AF) is the most frequent cardiac arrhythmia and its prevalence increases with age. AF is strongly associated with an increased risk of stroke, heart failure and cardiovascular mortality. Among the risk factors associated with AF onset and severity, obesity and inflammation play a prominent role. Numerous recent evidence suggested a role of epicardial adipose tissue (EAT), the visceral fat depot of the heart, in the development of AF. Several potential arrhythmogenic mechanisms have been attributed to EAT, including myocardial inflammation, fibrosis, oxidative stress, and fat infiltration. EAT is a local source of inflammatory mediators which potentially contribute to atrial collagen deposition and fibrosis, the anatomical substrate for AF. Moreover, the close proximity between EAT and myocardium allows the EAT to penetrate and generate atrial myocardium fat infiltrates that can alter atrial electrophysiological properties. These observations support the hypothesis of a strong implication of EAT in structural and electrical atrial remodeling, which underlies AF onset and burden. The measure of EAT, through different imaging methods, such as echocardiography, computed tomography and cardiac magnetic resonance, has been proposed as a useful prognostic tool to predict the presence, severity and recurrence of AF. Furthermore, EAT is increasingly emerging as a promising potential therapeutic target. This review aims to summarize the recent evidence exploring the potential role of EAT in the pathogenesis of AF, the main mechanisms by which EAT can promote structural and electrical atrial remodeling and the potential therapeutic strategies targeting the cardiac visceral fat.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3389/fcvm.2022.932262
- https://www.frontiersin.org/articles/10.3389/fcvm.2022.932262/pdf
- OA Status
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- Cited By
- 76
- References
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- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4283719735
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4283719735Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fcvm.2022.932262Digital Object Identifier
- Title
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Epicardial Adipose Tissue and Cardiac Arrhythmias: Focus on Atrial FibrillationWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-06-30Full publication date if available
- Authors
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Maddalena Conte, Laura Petraglia, Serena Cabaro, Vincenza Valerio, Paolo Poggio, Emanuele Pilato, Emilio Attena, Vincenzo Russo, Adele Ferro, Pietro Formisano, Dario Leosco, Valentina ParisiList of authors in order
- Landing page
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https://doi.org/10.3389/fcvm.2022.932262Publisher landing page
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https://www.frontiersin.org/articles/10.3389/fcvm.2022.932262/pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.frontiersin.org/articles/10.3389/fcvm.2022.932262/pdfDirect OA link when available
- Concepts
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Atrial fibrillation, Medicine, Cardiology, Internal medicine, Fibrosis, Adipose tissue, Heart failure, Inflammation, Cardiac arrhythmia, Pathogenesis, Magnetic resonance imaging, RadiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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76Total citation count in OpenAlex
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2025: 35, 2024: 28, 2023: 11, 2022: 2Per-year citation counts (last 5 years)
- References (count)
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155Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.computed | 169 |
| abstract_inverted_index.emerging | 196 |
| abstract_inverted_index.evidence | 49, 210 |
| abstract_inverted_index.frequent | 6 |
| abstract_inverted_index.generate | 124 |
| abstract_inverted_index.magnetic | 173 |
| abstract_inverted_index.methods, | 165 |
| abstract_inverted_index.proposed | 177 |
| abstract_inverted_index.severity | 187 |
| abstract_inverted_index.strongly | 17 |
| abstract_inverted_index.visceral | 59, 243 |
| abstract_inverted_index.Moreover, | 110 |
| abstract_inverted_index.different | 163 |
| abstract_inverted_index.exploring | 211 |
| abstract_inverted_index.fibrosis, | 82, 104 |
| abstract_inverted_index.including | 79 |
| abstract_inverted_index.increased | 21 |
| abstract_inverted_index.increases | 12 |
| abstract_inverted_index.mediators | 95 |
| abstract_inverted_index.oxidative | 83 |
| abstract_inverted_index.penetrate | 122 |
| abstract_inverted_index.potential | 71, 200, 213, 237 |
| abstract_inverted_index.presence, | 186 |
| abstract_inverted_index.prominent | 45 |
| abstract_inverted_index.promising | 199 |
| abstract_inverted_index.proximity | 113 |
| abstract_inverted_index.severity, | 39 |
| abstract_inverted_index.substrate | 107 |
| abstract_inverted_index.suggested | 50 |
| abstract_inverted_index.summarize | 207 |
| abstract_inverted_index.targeting | 240 |
| abstract_inverted_index.underlies | 153 |
| abstract_inverted_index.anatomical | 106 |
| abstract_inverted_index.arrhythmia | 8 |
| abstract_inverted_index.associated | 18, 34 |
| abstract_inverted_index.attributed | 76 |
| abstract_inverted_index.contribute | 98 |
| abstract_inverted_index.deposition | 102 |
| abstract_inverted_index.electrical | 149, 232 |
| abstract_inverted_index.epicardial | 54 |
| abstract_inverted_index.hypothesis | 139 |
| abstract_inverted_index.mechanisms | 73, 224 |
| abstract_inverted_index.mortality. | 29 |
| abstract_inverted_index.myocardial | 80 |
| abstract_inverted_index.myocardium | 117, 126 |
| abstract_inverted_index.prevalence | 11 |
| abstract_inverted_index.prognostic | 181 |
| abstract_inverted_index.recurrence | 189 |
| abstract_inverted_index.remodeling | 234 |
| abstract_inverted_index.resonance, | 174 |
| abstract_inverted_index.strategies | 239 |
| abstract_inverted_index.structural | 147, 230 |
| abstract_inverted_index.tomography | 170 |
| abstract_inverted_index.development | 67 |
| abstract_inverted_index.implication | 143 |
| abstract_inverted_index.infiltrates | 128 |
| abstract_inverted_index.potentially | 97 |
| abstract_inverted_index.properties. | 134 |
| abstract_inverted_index.remodeling, | 151 |
| abstract_inverted_index.therapeutic | 201, 238 |
| abstract_inverted_index.Fibrillation | 1 |
| abstract_inverted_index.Furthermore, | 192 |
| abstract_inverted_index.increasingly | 195 |
| abstract_inverted_index.inflammation | 42 |
| abstract_inverted_index.inflammatory | 94 |
| abstract_inverted_index.observations | 136 |
| abstract_inverted_index.pathogenesis | 219 |
| abstract_inverted_index.infiltration. | 87 |
| abstract_inverted_index.inflammation, | 81 |
| abstract_inverted_index.arrhythmogenic | 72 |
| abstract_inverted_index.cardiovascular | 28 |
| abstract_inverted_index.echocardiography, | 168 |
| abstract_inverted_index.electrophysiological | 133 |
| cited_by_percentile_year.max | 100 |
| cited_by_percentile_year.min | 94 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 12 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.99279755 |
| citation_normalized_percentile.is_in_top_1_percent | True |
| citation_normalized_percentile.is_in_top_10_percent | True |