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April 23, 2015European Heart Journal - Cardiovascular Imaging

Epicardial fat volume is related to atherosclerotic calcification in multiple vessel beds

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Key result

Larger epicardial fat volume was independently associated with greater coronary (difference 0.12 per SD increase; 95% CI 0.04-0.19) and extracranial carotid artery calcification in males.

Why the study?

Is epicardial fat volume associated with atherosclerotic calcification in multiple vessel beds?

Population

2298 participants from the population-based Rotterdam Study

Design

Cross-sectional

Authors

DBDaniël BosCardiac ImagingRSRahil ShahzadUniversity of CologneTWTheo van WalsumUniversidad de Valladolid

Discussion

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Overview

Hypothesis-generating for epicardial fat as systemic atherosclerosis marker in men; prospective studies needed before clinical relevance.

Study Design

Type

Observational (n=2,298)

Structured PICO

Is epicardial fat volume associated with atherosclerotic calcification in multiple vessel beds?

P
Population
2,298 participants from the population-based Rotterdam Study who underwent computed tomography to quantify epicardial fat and atherosclerotic calcification.
E
Exposure
Epicardial fat volume quantified by computed tomography
O
Outcome
Atherosclerotic calcification volume in the coronary arteries, aortic arch, and extracranial and intracranial internal carotid arteriessurrogate

Main Result

Mean Difference: 0.12 (95% CI 0.04–0.19)

Larger epicardial fat volume is independently associated with greater coronary and extracranial carotid artery calcification in males, suggesting a potential systemic effect on atherosclerosis.

Limitations

  • Cross-sectional design (future longitudinal research warranted)

Cite This Study

Bos et al. (2015) conducted an observational in Atherosclerotic calcification (n=2,298). Epicardial fat volume was evaluated on Coronary artery calcification volume in males (Difference 0.12, 95% CI 0.04-0.19). Larger epicardial fat volume was independently associated with greater coronary (difference 0.12 per SD increase; 95% CI 0.04-0.19) and extracranial carotid artery calcification in males.

synapsesocial.com/papers/6a330fcb08194afa457c10b7https://doi.org/10.1093/ehjci/jev086
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Epicardial and thoracic fat - Noninvasive measurement and clinical implications.2012 · 91 citations
  2. 2The Association of Pericardial Fat With Calcified Coronary Plaque2008 · 156 citations
  3. 3Intracranial Carotid Artery Atherosclerosis2012 · 187 citations
  4. 4Coronary Artery Calcium Area by Electron-Beam Computed Tomography and Coronary Atherosclerotic Plaque Area1995 · 1,464 citations
  5. 5Association of Epicardial Fat With Cardiovascular Risk Factors and Incident Myocardial Infarction in the General Population2013 · 531 citations