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October 1, 2024Cardiology PlusOpen Access

Relationship of epicardial adipose tissue measured by transthoracic echocardiography with coronary artery disease

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Key result

Epicardial adipose tissue thickness was significantly greater in patients with obstructive CAD (8.5 vs 5.4 mm) and independently correlated with its presence (OR 29.16, P<0.001).

Why the study?

Coronary artery disease is a leading cause of death worldwide, but its relationship with epicardial adipose tissue is not yet fully established.

Does epicardial adipose tissue thickness measured by echocardiography correlate with the presence of significant coronary artery disease in patients presenting with chest pain?

Population

100 patients presenting with chest pain undergoing echocardiography and coronary angiography

Comparison

Significant coronary artery stenosis (>70%) vs normal coronary findings

Design

Comparative cross-sectional study

Authors

MBMahmoud BarakaRGRamez GuindyYAYasmin Abdelrazek Ali

Discussion

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Member takes

Overview

EAT thickness by echocardiography may identify CAD in symptomatic patients; hypothesis-generating and should not change practice without prospective validation.

Study Design

Type

Cross-Sectional (n=100)

Structured PICO

Does epicardial adipose tissue thickness measured by echocardiography correlate with the presence of significant coronary artery disease in patients presenting with chest pain?

P
Population
100 patients presenting with chest pain who underwent echocardiography and coronary angiography, excluding those with prior ischemic heart disease, chronic liver disease, or familial hypercholesterolemia.
E
Exposure
Epicardial adipose tissue (EAT) thickness measurement by two-dimensional (2D) echocardiography
C
Comparator
Patients with normal coronary findings on angiography (Group B, n=50) compared to those with significant coronary artery stenosis (>70%) (Group A, n=50)
O
Outcome
Presence of significant coronary artery stenosis (>70%) on angiographysurrogate

Main Result

Odds Ratio: 29.16

Absolute Event Rate: 8.5% vs 5.4%

p-value: p=<0.001

Epicardial adipose tissue thickness ≥6.6 mm measured by echocardiography is strongly associated with the presence of obstructive coronary artery disease in patients with chest pain.

Cite This Study

Baraka et al. (2024) conducted a cross-sectional in Coronary artery disease (n=100). Epicardial adipose tissue (EAT) thickness vs. Normal coronary findings was evaluated on Significant coronary artery stenosis (>70%) on angiography (OR 29.16, p=<0.001). Epicardial adipose tissue thickness was significantly greater in patients with obstructive CAD (8.5 vs 5.4 mm) and independently correlated with its presence (OR 29.16, P<0.001).

synapsesocial.com/papers/6a7d889402c864aefccb49b2https://doi.org/10.1097/cp9.0000000000000100
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Also Consider

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

  1. 1Relation of systolic and diastolic epicardial adipose tissue thickness with presence and severity of coronary artery disease (The EAT CAD study)2019 · 26 citations
  2. 2Association of Epicardial Adipose Tissue Thickness with Extent and Complexity of Coronary Artery Disease in Patients with Acute Coronary Syndrome.2019 · 9 citations
  3. 3Relationship between epicardial adipose tissue, coronary artery disease and adiponectin in a Mexican population2014 · 33 citations
  4. 4Volumetric Assessment of Epicardial Adipose Tissue With Cardiovascular Magnetic Resonance Imaging2007 · 212 citations
  5. 5Epicardial Fat: Definition, Measurements and Systematic Review of Main Outcomes2013 · 267 citations