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Echocardiographic parameters of epicardial fat deposition and its relation to coronary artery disease

Juan Valiente Mustelier1, Julio Oscar Cabrera Rego, Angela Gala González

  • 1National Cardiology and Cardiovascular Surgery Institute, Havana, Cuba.

Insights

Epicardial fat and right ventricle fat infiltration are linked to coronary artery disease (CAD) presence in Hispanic patients. Increased cardiac fat deposition proportionally elevates CAD risk.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Public Health

Background:

  • Epicardial fat is linked to coronary artery disease (CAD).
  • Associations of atrial septum lipomatosis and right ventricle fat infiltration with CAD are unclear.
  • These cardiac fat parameters lack study in Hispanic populations.

Purpose of the Study:

  • To investigate the association between epicardial fat, atrial septum lipomatosis, right ventricle fat infiltration, and CAD presence.
  • To evaluate these associations specifically within a Hispanic patient cohort.

Main Methods:

  • Study included 250 Hispanic patients undergoing first invasive coronary angiography.
  • Cardiac fat deposition was assessed via 2D-echocardiography post-angiography.
  • Clinical and anthropometric data, including age, sex, risk factors, and BMI, were collected.

Main Results:

  • Epicardial fat and right ventricle fat infiltration showed significant, independent association with CAD presence.
  • The extent of epicardial fat deposition was proportionally associated with CAD presence.
  • No significant association was found between these fat parameters and CAD extent or clinical presentation.

Conclusions:

  • Epicardial fat and right ventricle fat infiltration are significant independent predictors of CAD presence.
  • Cardiac fat deposition extent is proportionally related to the likelihood of having CAD.
  • Findings highlight the role of specific cardiac fat depots in CAD risk among Hispanic individuals.
Abstract

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