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January 1, 2019Journal of Family Medicine and Primary CareOpen Access

Relation of systolic and diastolic epicardial adipose tissue thickness with presence and severity of coronary artery disease (The EAT CAD study)

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Key result

Increased systolic epicardial adipose tissue thickness was a strong independent predictor of coronary artery disease (OR 7.78) and correlated significantly with angiographic disease severity.

Why the study?

Data linking epicardial adipose tissue to cardiovascular risk and atherosclerotic plaque development were sparse from the Indian subcontinent.

Does epicardial adipose tissue thickness measured by echocardiography predict the presence and severity of coronary artery disease in patients undergoing coronary angiography?

Population

500 patients, including 250 with normal coronaries and 250 with significant CAD on angiogram

Comparison

Significant CAD vs angiographically normal coronary arteries

Design

Cross-sectional observational study

Authors

BVBhupendra VermaPandit Ravishankar Shukla UniversityDKDeepak KatyalJawaharlal Institute of Post Graduate Medical Education and ResearchAPAkhilesh Kumar PatelIndian Institute of Technology Bombay

Discussion

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Implication

May aid noninvasive CAD risk stratification via echo; leaves open incremental value in prospective studies.

Study Design

Type

Cross-Sectional (n=500)

Multicenter

No

Structured PICO

Does epicardial adipose tissue thickness measured by echocardiography predict the presence and severity of coronary artery disease in patients undergoing coronary angiography?

P
Population
500 patients aged >30 years undergoing coronary angiography, including 250 with significant CAD and 250 with normal coronary arteries, evaluated for epicardial adipose tissue thickness.
E
Exposure
Measurement of systolic and diastolic epicardial adipose tissue (EAT) thickness using transthoracic echocardiography (M-mode and 2D).
C
Comparator
Patients with angiographically normal coronary arteries (non-CAD group) compared to patients with significant CAD.
O
Outcome
Relationship of systolic and diastolic EAT thickness to the presence and severity of coronary artery disease (assessed by Gensini and SYNTAX scores).surrogate

Main Result

Odds Ratio: 7.78 (95% CI 3.45–10.56)

p-value: p=0.002

Echocardiographic measurement of epicardial adipose tissue thickness is an independent predictor of the presence and severity of coronary artery disease, offering a simple, non-invasive tool for cardiovascular risk assessment.

Limitations

  • Cross-sectional design prevents determining causal relationships
  • Echocardiography is less accurate for epicardial volume than CT or MRI
  • Study population consisted entirely of Indian patients, limiting generalizability to other ethnicities
  • Subject to confounding and bias inherent to observational studies
  • Cross-sectional study design precludes determining causal relationships

Cite This Study

Verma et al. (2019) conducted a cross-sectional in Coronary artery disease (n=500). Epicardial adipose tissue (EAT) thickness vs. Lower EAT thickness was evaluated on Presence of coronary artery disease (OR 7.78, 95% CI 3.45-10.56, p=0.002). Increased systolic epicardial adipose tissue thickness was a strong independent predictor of coronary artery disease (OR 7.78) and correlated significantly with angiographic disease severity.

synapsesocial.com/papers/6a7d889402c864aefccb49c0https://doi.org/10.4103/jfmpc.jfmpc_194_19
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Also Consider

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

  1. 1Epicardial Adipose Tissue Thickness and Its Association With the Presence and Severity of Coronary Artery Disease in Clinical Setting: A Cross-Sectional Observational Study2016 · 73 citations
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