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April 30, 2026Journal of the American College of Cardiology

Association of Epicardial Fat With Cardiovascular Risk Factors and Incident Myocardial Infarction in the General Population

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Why the study?

Epicardial adipose tissue is suggested to promote coronary plaque development, but whether epicardial fat volume predicts coronary events in the general population was unknown.

Does epicardial adipose tissue (EAT) volume predict incident fatal or nonfatal coronary events in a general population free of baseline cardiovascular disease?

Population

4,093 participants free of cardiovascular disease from the Heinz Nixdorf Recall cohort study

Comparison

Higher vs lower epicardial adipose tissue volume

Design

Prospective population-based cohort study

Follow-up

8.0 ± 1.5 years

Authors

AMAmir A. MahabadiCardiac ImagingMBMarie BergUniversity of GothenburgNLNils LehmannNorthwestern University

Discussion

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Member takes

Overview

No current role in routine risk stratification; leaves open whether EAT is a modifiable target for coronary prevention.

Structured PICO

Does epicardial adipose tissue (EAT) volume predict incident fatal or nonfatal coronary events in a general population free of baseline cardiovascular disease?

P
Population
4,093 participants from the prospective population-based Heinz Nixdorf Recall cohort study free of cardiovascular disease, mean age 59.4 years, 47% male.
I
Intervention
Higher epicardial adipose tissue (EAT) volume (assessed by quartiles or continuous doubling)
C
Comparator
Lower epicardial adipose tissue (EAT) volume
O
Outcome
Incident fatal or nonfatal coronary events at 8.0 ± 1.5 years follow-uphard clinical

Epicardial fat volume independently predicts incident fatal and nonfatal coronary events in an asymptomatic general population, even after adjusting for traditional risk factors and coronary artery calcification.

Cite This Study

Mahabadi et al. (2013) studied this question.

synapsesocial.com/papers/69f31e80b24eb58ef2fb05aehttps://doi.org/10.1016/j.jacc.2012.11.062
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Quantification of coronary artery calcium using ultrafast computed tomography1990 · 7,832 citations
  2. 2Association of pericardial fat, intrathoracic fat, and visceral abdominal fat with cardiovascular disease burden: the Framingham Heart Study2008 · 656 citations
  3. 3Peri-coronary epicardial adipose tissue is related to cardiovascular risk factors and coronary artery calcification in post-menopausal women2007 · 225 citations