Key result
Epicardial adipose thickness averages ~3 mm in type 2 diabetes and tracks with age and duration.
Why the study?
Early cardiovascular risk assessment in diabetic patients faces challenges and epicardial adipose tissue is a novel marker with no prior studies in Vietnamese diabetic patients.
What is the epicardial adipose tissue thickness and its associated risk factors in patients with type 2 diabetes?
Cross-Sectional (n=72)
No
What is the epicardial adipose tissue thickness and its associated risk factors in patients with type 2 diabetes?
Epicardial adipose thickness measured by echocardiography is associated with age, gender, and diabetes duration, suggesting its utility as a simple tool for cardiovascular risk assessment in type 2 diabetes patients.
May support epicardial adipose tissue thickness as a risk marker in Vietnamese type 2 diabetes; leaves open its added value for risk stratification.
Background: Early cardiovascular risk assessment in diabetic patients still faces many challenges. Epicardial adipose tissue is considered a new marker of cardiovascular risk. There have been no studies on epicardial adipose tissue in diabetic patients in Vietnam. Objective: To investigate the characteristics and the risk factors associated with epicardial adipose tissue thickness in patients with type 2 diabetes. Methodology: A cross-sectional study was conducted on 72 patients aged ≥40 years who diagnosed with type 2 diabetes, hospitalized at Hospital 199 from January to August 2025. The value of the epicardial adipose thickness is measured at the end of diastole on the longitudinal and transverse axis sectional views, measured on the free wall of the right ventricle, and then the average value is taken. Results: The average of the epicardial adipose thickness is 3.03 ± 1.62 mm, with a minimum value of 1.2 mm and a maximum value of 12.25 mm. There is no statistically significant difference between the measurements collected from the longitudinal cross-section and the horizontal cross section beside the sternum (p=0.437). There is a statistically significant relationship between age, gender, duration of diabetes treatment with the epicardial adipose thickness with p values of 0.003; 0.008; 0.039 respectively. Conclusion: the epicardial adipose thickness on cardiac ultrasound can be considered a simple, inexpensive, and accessible tool to assess cardiovascular risk in patients with diabetes.
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Lam et al. (2026) conducted a cross-sectional in Type 2 diabetes (n=72). Epicardial adipose tissue thickness was evaluated on Epicardial adipose tissue thickness and associated risk factors. Average epicardial adipose thickness in type 2 diabetic patients was 3.03 ± 1.62 mm and was significantly associated with age (P=0.003), gender (P=0.008), and duration of diabetes treatment (P=0.039).
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