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Table1 Characteristics of include studies

From: Epicardial adipose tissue is associated with higher recurrence risk after catheter ablation in atrial fibrillation patients: a systematic review and meta-analysis

Author /year

region

Size

Population

Follow-up

Age

Study type

object

AFR

RR/HR

Adjusted

Measure

Quality assessment

Nagashima/2011 [22]

Japan

40

24 PAF

16 Per AF

0.85 y

58.0 y

Retrospective

LA-EAT volumes

15(37.5%)

7.15 (3.03–11.3)

Age, BMI, HbA1c, HDL-C, LDL-C, TG

CT

high-quality

Masuda/2015 [23]

Japan

53

22 PAF

31 Per AF

1.33 y

61.5 y

Retrospective

LA-EAT

volumes

36(67.9%)

1.06 (1.03–1.10)

PAF rate, Left atrial volume, Radio-frequency application time

CT

high-quality

Stojanovska/2015 [24]

United States

169

94 PAF

75 Per AF

3.2 y

64.0 y

Retrospective

EAT volumes

78(46%)

1.009 (1.001–1.01)

age, gender, BMI

CT

high-quality

Canpolat/2016 [13]

Turkey

234

190 PAF

44 Per AF

1.7 y

54.0 y

Retrospective

EAT thickness

45(19.2%)

1.36 (1.10–1.66)

Age, Dyslipidemia, Non-paroxysmal AF rate, Duration of AF, EHRA score, LA diameter, hs-CRP

Echo

high-quality

Chao/2013 [14]

China

283

227 PAF

56 Per AF

1.3 y

54.6 y

Retrospective

EAT thickness

95(33.6%)

2.863 (2.112–3.882)

Non-paroxysmal AF rate,

CHADS2 score,

LA diameter

Echo/CT

high-quality

Maeda/2018 [25]

Japan

218

143 PAF

78 Per AF

1.45 y

64.0 y

Retrospective

EATVi

61(28%)

1.02 (1.00–1.03)

Non-paroxysmal AF rate,

Body height, eGFR, IVS thickness, Septal E/E’

CT

high-quality

Sanghai/2018 [15]

United States

274

189 PAF

85 Per AF

1.0 y

61.0 y

Retrospective

iLAEAT

109(40%)

2.93 (1.34–6.43)

CHA2DS2Vascscore BMI, LA Volume, LV mass index, average E/e’

CT

high-quality

Kawasaki/2020 [16]

Japan

64

64 PAF

1.0 y

70.7 y

Retrospective

peri-atrial EAT/TEA

thickness

14(21.9%)

4.822(1.209–32.809)

Calcium channel blockers,

Delta WR

CT

high-quality

Mahdiui/2021 [17]

Hungary

460

354 PAF

106 Per AF

1.5 y

61.0 y

Retrospective

Posterior LAEA

thickness

168(37%)

1.01 (0.97–1.04)

Age, sex, AF type, BMI, antiarrhythmic drugs, LVEF < 50%, E/A-ratio, LA volume

CT

high-quality

Romanov/2021 [18]

Russian

45

15 PAF

30 Per AF

1.0 y

55.2 y

Retrospective

peri-atrial EAT volumes

9(20%)

1.02 (0.99–1.05)

NA

CT

medium-quality

  1. PAF paroxysmal atrial fibrillation, Per AF persistent AF, Echo Echocardiographic CT computed tomography, EATV index epicardial adipose tissue volume index, LA-EAT left atrial epicardial adipose tissue, TEAT total epicardial adipose tissue, EATT epicardial adipose tissue thickness, BMI, body mass index, HDL-C high density lipoprotein cholesterol, LDL-C low density lipoprotein cholesterol, TG triglycerides, EHRA european heart rhythm association, LVEF left ventricular ejection fraction, WR washout rate, E/e’ mitral inflow velocity (E)/mitral annular velocities (e’), eGFR estimated glomerular filtration rate, IVS interventricular septal, EATVi EATV index (EATVI: EATV/body surface area, mL/m2), iLAEAT index LAEAT (iLAEAT: LAEAT/body surface area, mL/m2)