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January 1, 2019Interventional CardiologyOpen Access

Association between epicardial adipose tissue thickness and coronary heart disease: A metaanalysis

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Key result

Patients with coronary artery disease had significantly higher epicardial adipose tissue thickness compared to non-CAD patients (SMD 1.07).

Why the study?

The authors sought to systematically evaluate the efficacy and diagnostic value of epicardial adipose tissue in coronary artery disease.

Does epicardial adipose tissue thickness measured by echocardiography or CT correlate with the presence of coronary artery disease?

Population

4049 patients across 21 articles

Comparison

CAD group vs non-CAD group

Design

Meta-analysis

Authors

SYShuai YuanAKAi Ke-QingYXYang Xin-Quan

Discussion

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Overview

Epicardial adipose tissue thickness may aid CAD detection; leaves open its incremental value over standard risk factors.

Study Design

Type

Meta-Analysis (n=4,049)

Structured PICO

Does epicardial adipose tissue thickness measured by echocardiography or CT correlate with the presence of coronary artery disease?

P
Population
4,049 patients from 21 studies comparing epicardial adipose tissue thickness between patients with and without coronary artery disease.
E
Exposure
Measurement of epicardial adipose tissue (EAT) thickness using echocardiography or computed tomography (CT)
C
Comparator
Patients without coronary artery disease (non-CAD group)
O
Outcome
Difference in epicardial adipose tissue (EAT) thickness between CAD and non-CAD groupssurrogate

Main Result

Standardized Mean Difference: 1.07 (95% CI 0.75–1.38)

p-value: p=<0.00001

Epicardial adipose tissue thickness is significantly increased in patients with coronary artery disease, suggesting it may serve as a useful non-invasive imaging biomarker for CAD diagnosis and risk stratification.

Limitations

  • High heterogeneity among included studies (I2=95%)
  • Grey literature was not evaluated
  • Limited reliable evidence despite many studies

Cite This Study

Yuan et al. (2019) conducted a meta-analysis in Coronary artery disease (n=4,049). Coronary artery disease (CAD) vs. Without coronary artery disease (non-CAD) was evaluated on Epicardial adipose tissue (EAT) thickness (SMD 1.07, 95% CI 0.75-1.38, p=<0.00001). Patients with coronary artery disease had significantly higher epicardial adipose tissue thickness compared to non-CAD patients (SMD 1.07).

synapsesocial.com/papers/6a846a0ec7e37ebe3168dc3dhttps://doi.org/10.37532/fmic.2019.11(3).630
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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
  2. 2Epicardial Adipose Tissue in Patients with Coronary Artery Disease: A Meta-Analysis2022 · 33 citations
  3. 3Relationship of epicardial adipose tissue measured by transthoracic echocardiography with coronary artery disease2024 · 3 citations
  4. 4Relationship of epicardial adipose tissue by echocardiography to coronary artery disease2007 · 324 citations
  5. 5How to interpret epicardial adipose tissue as a cause of coronary artery disease2012 · 128 citations