Have a personal or library account? Click to login
Total Bilirubin Level is Associated with the Risk of Left Atrial Appendage Thrombosis in Patients with Non-Valvular Atrial Fibrillation Cover

Total Bilirubin Level is Associated with the Risk of Left Atrial Appendage Thrombosis in Patients with Non-Valvular Atrial Fibrillation

Open Access
|Dec 2022

Figures & Tables

Table 1

Baseline characteristics of patients with or without LAA thrombus.

PARAMETERNO THROMBUS (N = 418)THROMBUS (N = 41)P VALUE
0.096756
Age, years63.15 ± 11.0162.95 ± 8.630.756
Female, n (%)174 (41.6)19 (46.3)0.559
BMI, kg/m225.18 ± 3.8324.72 ± 3.070.682
Nonparoxymal AF, n (%)124 (29.6)36 (87.8)<0.001
Hypertension, n (%)240 (57.4)25 (60.9)0.660
Diabetes, n (%)92 (22.0)6 (14.6)0.271
Coronary artery disease, n (%)102 (24.4)6 (14.6)0.159
Old myocardial infarction, n (%)8 (1.9)1 (2.4)0.817
Previous stroke/TIA, n (%)70 (16.7)11 (26.8)0.106
Smoking, n (%)130 (31.1)11 (26.8)0.572
TBIL, umol/L13.98 ± 4.2521.34 ± 9.34<0.001
ALT, U/L24.01 ± 17.5225.42 ± 17.830.492
RDW,%13.43 ± 2.0113.88 ± 1.310.003
Cr, umol/L72.91 ± 17.5273.79 ± 15.970.738
D-Di, ng/ml186.78 ± 294.59350.16 ± 573.100.026
LAD, mm37.59 ± 5.9242.85 ± 6.14<0.001
LVDd, mm47.72 ± 4.2149.39 ± 7.420.261
LVEF,%63.5 ± 5.7658.88 ± 12.010.020
LVFS,%34.66 ± 4.6431.98 ± 7.860.046
CHA2DS2-VASc2.17 ± 1.533.88 ± 1.24<0.001
HAS-BLED0.94 ± 0.991.02 ± 0.960.485

[i] AF: atrial fibrillation; TBIL: Total bilirubin; ALT: Alanine aminotransferase; RDW: Red blood cell volume distribution width; Cr: Creatinine; D-Di: D-dimer; LAD: Left atrium diameter; LVDd: Left ventricular end diastolic diameter; LVEF: Left ventricular ejection fraction; LVFS: Left ventricular fractional shortening.

gh-17-1-1177-g1.jpg
Figure 1

Plasma TBIL levels in patients with LAA thrombus compared with those without LAA thrombus. (‘*’ with statistical significance).

Table 2

Multivariate logistic regression analysis of LAA thrombus.

VARIABLEOR95%CIP VALUE
Nonparoxymal AF17.0734.633–62.914<0.001
TBIL1.2291.122–1.345<0.001
RDW1.0630.837–1.3510.614
D-Di1.0011.000–1.0020.133
LAD1.0170.940–1.0990.678
LVEF0.8730.770–0.9890.033
LVFS1.1610.984–1.3690.076
CHA2DS2-VASc1.9741.459–2.670<0.001

[i] AF: atrial fibrillation; TBIL: Total bilirubin; RDW: Red blood cell volume distribution width; D-Di: D-dimer; LAD: Left atrium diameter; LVEF: Left ventricular ejection fraction; LVFS: Left ventricular fractional shortening.

Table 3

Pearson correlation analysis between TBIL and its clinical data in AF patients with LAA thrombus.

PARAMETERrP VALUE
RDW0.2070.177
D-Di0.1500.331
LAD0.1240.422
LVEF–0.3270.031
LVFS–0.2950.052
CHA2DS2-VASc–0.1570.308

[i] TBIL: Total bilirubin; RDW: Red blood cell volume distribution width; D-Di: D-dimer; LAD: Left atrium diameter; LVEF: Left ventricular ejection fraction; LVFS: Left ventricular fractional shortening.

gh-17-1-1177-g2.jpg
Figure 2

ROC curve for TBIL in predicting LAA thrombosis.

DOI: https://doi.org/10.5334/gh.1177 | Journal eISSN: 2211-8179
Language: English
Submitted on: Aug 30, 2021
|
Accepted on: Nov 22, 2022
|
Published on: Dec 22, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Weihao Meng, Leigang Wang, Hongxuan Fan, Shaobin Mao, Xiaosu Song, Zhijun Zhang, Haixiong Wang, Bin Liang, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.