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Article: Association of epicardial adipose tissue with different stages of coronary artery disease: A cross-sectional UK Biobank cardiovascular magnetic resonance imaging substudy.

van Meijeren, Anne Ruth / Ties, Daan / de Koning, Marie-Sophie L Y / van Dijk, Randy / van Blokland, Irene V / Lizana Veloz, Pablo / van Woerden, Gijs / Vliegenthart, Rozemarijn / Pundziute, Gabija / Westenbrink, Daan B / van der Harst, Pim

International journal of cardiology. Heart & vasculature

2022  Volume 40, Page(s) 101006

Abstract: Objective: Increased epicardial adipose tissue (EAT) has been identified as a risk factor for the development of coronary artery disease (CAD). However, the exact role of EAT in the development of CAD is unclear. This study aims to compare EAT volumes ... ...

Abstract Objective: Increased epicardial adipose tissue (EAT) has been identified as a risk factor for the development of coronary artery disease (CAD). However, the exact role of EAT in the development of CAD is unclear. This study aims to compare EAT volumes between healthy controls and individuals with stable CAD and a history of myocardial infarction (MI). Furthermore, associations between clinical and biochemical parameters with EAT volumes are examined.
Methods: This retrospective cross-sectional study included 171 participants from the United Kingdom Biobank (56 healthy controls; 60 stable CAD; 55 post MI), whom were balanced for age, sex and body mass index (BMI). EAT volumes were quantified on end-diastolic cardiac magnetic resonance (CMR) imaging short-axis slices along the left and right ventricle and indexed for body surface area (iEAT) and iEAT volumes were compared between groups.
Results: iEAT volumes were comparable between control, CAD and MI cases (median [IQR]: 66.1[54.4-77.0] vs. 70.9[55.8-85.5] vs. 67.6[58.6-82.3] mL/m
Conclusions: No significant differences in iEAT volumes were observed between patients with CAD, MI and healthy controls. Our results indicate the importance of correcting for confounding by CVD risk factors, including circulating lipid levels, when studying the relationship between EAT volume and CAD. Further mechanistic studies on causal pathways and the role of EAT composition are warranted.
Language English
Publishing date 2022-03-29
Publishing country Ireland
Document type Journal Article
ZDB-ID 2818464-6
ISSN 2352-9067
ISSN 2352-9067
DOI 10.1016/j.ijcha.2022.101006
Database MEDical Literature Analysis and Retrieval System OnLINE

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