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Updated: May 23, 2026

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
Published on: June 2, 2015
Concomitant evaluation of flow-mediated vasodilation and epicardial fat thickness in idiopathic deep venous
G Mazzoccoli1, M P Dagostino, A Fontana
1Department of Medical Sciences, Division of Internal Medicine, IRCCS Scientific Institute and Regional General Hospital Casa Sollievo della Sofferenza San Giovanni Rotondo, Italy. g.mazzoccoli@operapadrepio.it
Insights
Deep vein thrombosis (DVT) is linked to impaired arterial endothelial function and increased epicardial fat. These findings suggest DVT patients may have higher cardiovascular and metabolic risks.
Area of Science:
- Cardiology
- Vascular Biology
- Metabolic Syndrome
Background:
- Flow-mediated vasodilation (FMD) assesses endothelium-dependent vasodilation, a marker of arterial endothelial dysfunction linked to coronary artery disease.
- Epicardial fat (EF) thickness, measured via echocardiography, is a reliable indicator of visceral adiposity and cardiovascular risk.
Purpose of the Study:
- To investigate the association between FMD and deep vein thrombosis (DVT).
- To examine the relationship between EF thickness and DVT.
- To explore potential links between DVT, endothelial dysfunction, and cardiometabolic risk factors.
Main Methods:
- Echocardiographic measurement of EF thickness and FMD in 77 subjects (39 with idiopathic DVT, 38 without).
- Multivariate logistic regression analysis adjusting for covariates: FMD, EF, age, sex, smoking, and obesity.
Main Results:
- Subjects with DVT exhibited significantly higher EF thickness (12.32 ± 1.73 mm) compared to those without (9.07 ± 1.89 mm, p=0.005).
- Subjects with DVT showed borderline-significantly lower FMD values (7.47 ± 5.37%) than those without (9.01 ± 2.77%, p=0.058).
Conclusions:
- Spontaneous deep vein thrombosis is associated with impaired endothelium-dependent vasodilation, indicating arterial endothelial dysfunction.
- Increased epicardial adipose tissue in DVT patients suggests a heightened cardiometabolic risk profile.
Abstract:
Flow mediated vasodilation (FMD) evaluates the endothelium-dependent vasodilation, is a reliable marker of arterial endothelial dysfunction and is related to coronary artery disease. Visceral fat predicts an unfavorable cardiovascular and metabolic risk profile in humans and echocardiographic assessment of epicardial fat (EF) is a reliable marker of visceral adiposity. We measured the FMD and EF thickness in 77 subjects, 38 without idiopathic deep vein thrombosis (DVT) (mean age 65.95 ± 16.29 years) and 39 with idiopathic DVT (mean age 65.49 ± 17.22 years). The purpose of this work is to investigate the presence of statistical association between FMD and DVT and between EF thickness and DVT. Furthermore, to account for possible atherosclerosis risk factor unbalances, comparison between FMD and DVT (and between EF and DVT) was assessed using a multivariate logistic regression model which included the following covariates: FMD, EF, age, sex, smoking and the presence of obesity. Subjects without DVT showed significant lower values of EF thickness (9.07 ± 1.89 mm vs 12.32 ± 1.73 mm, p=0.005) and borderline-significant greater values of FMD (9.01 ± 2.77 percent vs 7.47 ± 5.37 percent, p=0.058) as compared to those with DVT. In conclusion, the data presented indicate that subjects affected by spontaneous deep vein thrombosis may have an impaired endothelium-dependent vasodilation, a marker of arterial endothelial dysfunction related to coronary artery disease, and an increased epicardial adipose tissue, a marker of cardiometabolic risk.
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