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February 23, 2012Coronary Artery Disease

How to interpret epicardial adipose tissue as a cause of coronary artery disease

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Key result

Epicardial adipose tissue thickness was significantly higher in patients with coronary artery disease compared to those without (MD 1.57 mm; 95% CI 0.74-2.40; P<0.00001).

Why the study?

Is epicardial adipose tissue thickness and volume associated with the presence of coronary artery disease?

Population

2,872 patients from 15 case-control studies and 1 cross-sectional study evaluated for coronary artery disease.

Comparison

Higher epicardial adipose tissue thickness and… vs Lower EAT thickness and volume / non-CAD patients

Design

Meta-analysis

Authors

YXYan XuXCXiaoshu ChengKHKui Hong

Discussion

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Overview

Does not support routine EAT measurement in CAD evaluation; leaves open its diagnostic role pending prospective validation.

Study Design

Type

Meta-Analysis (n=2,872)

Structured PICO

Is epicardial adipose tissue thickness and volume associated with the presence of coronary artery disease?

P
Population
2,872 patients from 15 case-control studies and one cross-sectional study evaluating the relationship between epicardial adipose tissue and coronary artery disease.
E
Exposure
Higher epicardial adipose tissue (EAT) thickness and volume
C
Comparator
Lower EAT thickness and volume / non-CAD patients
O
Outcome
Presence of coronary artery disease (CAD)surrogate

Main Result

Mean Difference: 1.57 (95% CI 0.74–2.4)

p-value: p=<0.00001

Epicardial adipose tissue thickness and volume are significantly increased in patients with coronary artery disease, suggesting its potential utility as a predictive marker.

Cite This Study

Xu et al. (2012) conducted a meta-analysis in Coronary artery disease (n=2,872). Epicardial adipose tissue (EAT) vs. Non-CAD group was evaluated on EAT thickness (MD 1.57, 95% CI 0.74, 2.40, p=<0.00001). Epicardial adipose tissue thickness was significantly higher in patients with coronary artery disease compared to those without (MD 1.57 mm; 95% CI 0.74-2.40; P<0.00001).

synapsesocial.com/papers/6a62bc0a7fd4bc433b96accdhttps://doi.org/10.1097/mca.0b013e328351ab2c
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