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Right Heart Morphology and Its Association With Excessive and Deficient Cardiac Visceral Adipose Tissue
Domagoj Vučić1, Nikola Bijelić2, Edi Rođak2
1Department for Internal Medicine, Division of Cardiology, General Hospital Doctor Josip Benčević, Slavonski Brod, Croatia.
Insights
Visceral adipose tissue impacts heart health, influencing conditions like coronary disease and hypertension. This study explores its specific effects on right heart morphology, offering new insights into cardiovascular pathogenesis.
Area of Science:
- Cardiovascular Science
- Metabolic Disease Research
- Adipose Tissue Biology
Background:
- Visceral adipose tissue is a key risk factor for cardiovascular diseases, hypertension, diabetes, and metabolic syndrome.
- Cardiac adipose tissue plays roles in thermogenesis, mechanical protection, energy storage, and acts as an endocrine organ secreting cytokines.
- Limited knowledge exists on how visceral adipose tissue, in excess or deficiency, affects cardiac morphology, particularly the right heart.
Purpose of the Study:
- To investigate the influence of visceral adipose tissue on cardiac morphology.
- To specifically examine the impact of visceral adipose tissue excess or deficiency on right heart morphology.
Main Methods:
- Non-invasive imaging methods are used to quantify cardiac adipose tissue.
- Analysis of existing literature and data on visceral adipose tissue and cardiac morphology.
Main Results:
- Visceral adipose tissue is implicated in the pathogenesis of major cardiovascular and metabolic diseases.
- Cardiac adipose tissue functions include thermogenesis, mechanical support, energy storage, and endocrine signaling via cytokines.
- Deficiency in cardiac adipose tissue correlates with increased mortality and morbidity in chronic conditions.
Conclusions:
- Visceral adipose tissue significantly influences cardiovascular health and disease development.
- Further research is needed to fully elucidate the specific effects of visceral adipose tissue on right heart morphology.
Abstract:
Visceral adipose tissue is an independent risk factor for the development of atherosclerotic coronary disease, arterial hypertension, diabetes and metabolic syndrome. Right heart morphology often involves the presence of adipose tissue, which can be quantified by non-invasive imaging methods. The last decade brought a wealth of new insights into the function and morphology of adipose tissue, with great emphasis on its role in the pathogenesis of heart disease. Cardiac adipose tissue is involved in thermogenesis, mechanical protection of the heart and energy storage. However, it can also be an endocrine organ that synthesises numerous pro-inflammatory and anti-inflammatory cytokines, the effect of which is accomplished by paracrine and vasocrine mechanisms. Visceral adipose tissue has several compartments that differ in their embryological origin and vascularisation. Deficiency of cardiac adipose tissue, often due to chronic pathological conditions such as oncological diseases or chronic infectious diseases, predicts increased mortality and morbidity. To date, knowledge about the influence of visceral adipose tissue on cardiac morphology is limited, especially the effect on the morphology of the right heart in a state of excess or deficient visceral adipose tissue.
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