Epicardial fat thickness as associated with left ventricular myocardial performance in patients with newly diagnosed hypertension

2015 ◽  
Author(s):  
Abdurrezzak Borekci
Keyword(s):  
Left Ventricular ◽  
Epicardial Fat ◽  
Myocardial Performance ◽  
Newly Diagnosed ◽  
Epicardial Fat Thickness ◽  
Fat Thickness

Epicardial fat thickness in infants of diabetic mothers

2021 ◽  
pp. 1-6
Author(s):  
M.M. Vela-Huerta ◽  
N. Amador-Licona ◽  
R. Domínguez-Damiá ◽  
A. Heredia-Ruiz ◽  
H.V. Orozco-Villagomez ◽  
...  
Keyword(s):  
Interventricular Septum ◽  
Left Ventricular ◽  
Epicardial Fat ◽  
Left Ventricular Ejection ◽  
Epicardial Fat Thickness ◽  
Infants Of Diabetic Mothers ◽  
Significant Difference ◽  
Echocardiographic Parameters ◽  
Fat Thickness ◽  
Diabetic Mothers

BACKGROUND: Epicardial fat thickness (EFT) in adults and children has been related to the metabolic syndrome and other cardiovascular risk factors; however, scarce studies have evaluated it in infants of diabetic mothers (IDM) in whom, alterations in the thickness of the interventricular septum have been reported. This study compares the EFT in IDM versus infants of non-diabetic mothers (INDM) and its association with others echocardiographic parameters. METHODS: We performed a cross sectional study in 93 infants (64 IDM and 29 INDM). To evaluate EFT dimensions, an echocardiogram was performed within the first 24h of extrauterine life in both groups. In diabetic mothers, HbA1c was also determined. RESULTS: There was no significant difference in birth weight between the groups although gestational age was lower in IDM. The EFT (3.6 vs. 2.5 mm, p <  0.0001), the interventricular septum thickness (IVST) (6.2 vs. 5.2 mm, p <  0.0001) and the IVST / left ventricle posterior wall (1.3 vs. 1.1, p = 0.001) were higher in the IDM; while the left ventricular expulsion fraction [LVFE] (71.1 vs. 77.8; p <  0.0001) was lower than in the INDM, respectively. We found a positive correlation between EFT with IVST (r = 0.577; p = 0.0001), LVPW (r = 0.262; p = 0.011), IVST/LVPW index (r = 0.353; p = 0.001), and mitral integral early velocity (r = 0.313; p = 0.002), while a negative correlation with LVFE was observed (r = –0.376; p = 0.0001). CONCLUSIONS: The EFT is higher in IDM than in INDM. It was positively related with echocardiographic parameters of left ventricular thickness and negatively with left ventricular ejection function.

Epicardial fat thickness, an emerging cardiometabolic risk factor, is increased in young adults born preterm

2016 ◽  
Vol 7 (4) ◽  
pp. 369-373 ◽  
Author(s):  
P. P. Bassareo ◽  
V. Fanos ◽  
M. Puddu ◽  
S. Marras ◽  
G. Mercuro
Keyword(s):  
Birth Weight ◽  
Left Ventricular Mass ◽  
Gestational Age ◽  
Cardiovascular Events ◽  
Left Ventricular ◽  
Extremely Low Birth Weight ◽  
Epicardial Fat ◽  
Epicardial Fat Thickness ◽  
Ventricular Mass ◽  
Fat Thickness

Preterm birth and epicardial fat thickness (EFT) constitute novel risk factors for the onset of future adverse cardiovascular events. In total, 30 ex-extremely low birth weight (ex-ELBW) subjects (10 males, 20 females, aged 17–28) were enrolled and compared with 30 healthy peers. EFT was significantly higher (8.7±0.7 mm v. 5.6±0.9 mm; P<0.001) in ex-ELBW than in controls and was correlated with birth weight (r=−0.47, P=0.0009), gestational age (r=−0.39, P=0.03) and cardiac left ventricular mass (r=0.51, P=0.004). When excluding the influence of body mass index, birth weight was the sole remaining determinant of EFT, irrespective of gestational age (r=−0.37, P=0.04). The same findings when excluding the possible influence of blood pressure values on the cardiac structures (r=−0.40, P=0.028). In conclusion, EFT is significantly higher in former preterm subjects and is likewise associated with an increase in left ventricular mass. In view of the acknowledged correlation between the latter and an increased incidence of cardiovascular diseases, EFT appears to be an easy-to-measure tool capable of predicting the likely development of future adverse cardiovascular events in these subjects.

Epicardial fat thickness and left ventricular mass in subjects with adrenal incidentaloma

Endocrine ◽  
2013 ◽  
Vol 44 (2) ◽  
pp. 532-536 ◽  
Author(s):  
Gianluca Iacobellis ◽  
Luigi Petramala ◽  
Giuseppe Barbaro ◽  
Atil Y. Kargi ◽  
Valentina Serra ◽  
...  
Keyword(s):  
Left Ventricular Mass ◽  
Adrenal Incidentaloma ◽  
Left Ventricular ◽  
Epicardial Fat ◽  
Epicardial Fat Thickness ◽  
Ventricular Mass ◽  
Fat Thickness

PS 11-14 THE RELATION OF EPICARDIAL FAT THICKNESS WITH LEFT VENTRICULAR GEOMETRY IN HYPERTENSION

2016 ◽  
Vol 34 (Supplement 1) ◽  
pp. e336
Author(s):  
Mi-Na Kim ◽  
Donghyuk Cho ◽  
Su-A Kim ◽  
Hack-Lyoung Kim ◽  
Seong-Mi Park ◽  
...  
Keyword(s):  
Left Ventricular ◽  
Epicardial Fat ◽  
Left Ventricular Geometry ◽  
Epicardial Fat Thickness ◽  
Ventricular Geometry ◽  
Fat Thickness

scholarly journals Impact of Gender on the Association of Epicardial Fat Thickness, Obesity, and Circadian Blood Pressure Pattern in Hypertensive Patients

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
In Kyoung Shim ◽  
Kyoung-Im Cho ◽  
Hyun-Su Kim ◽  
Jung-Ho Heo ◽  
Tae Joon Cha
Keyword(s):  
Blood Pressure ◽  
Multivariate Logistic Regression Analysis ◽  
Left Ventricular ◽  
Epicardial Fat ◽  
Epicardial Fat Thickness ◽  
Circadian Blood Pressure ◽  
Ambulatory Bp Monitoring ◽  
Obese Female ◽  
Male Patients ◽  
Fat Thickness

This study aimed to investigate the effects of gender on the association between epicardial fat thickness (EFT) and circadian blood pressure (BP) changes in patients with recently diagnosed essential hypertension (EH). A total of 441 patients with EH (male/female: 236/205, mean age: 50.7 ± 13.8) and 83 control patients underwent 24-hour ambulatory BP monitoring and echocardiography. Obese EH patients had higher circadian BP profile with BP variability, wall thickness, and left ventricular mass than nonobese EH patients and controls (allp’s<0.05) without gender differences. EFT was higher in female than in male patients (7.0 ± 2.5 versus 5.9 ± 2.2 mm,p<0.001) and higher in the obese female EH group (7.5 ± 2.6 mm) than in the control (6.4 ± 2.8 mm) or nonobese EH group (6.7 ± 2.8 mm) among women, whereas EFT did not vary among males (5.9 ± 1.9 versus 6.0 ± 2.7 versus 5.9 ± 2.4 mm,p=0.937). Multivariate logistic regression analysis demonstrated that the 24-hour mean BP variability was associated with SBP (p=0.018) and EFT (p=0.016) in female patients, but not in male patients. The relationships among circadian BP variability, obesity, and EFT were affected by gender in different manners. EFT may be a more valuable parameter in the evaluation of BP severity and obesity in women than in men.

Correlation between epicardial fat thickness and aortic valve sclerosis

2018 ◽  
Vol 26 (3) ◽  
pp. 188-195 ◽  
Author(s):  
Maryam Nabati ◽  
Maryam Favaedi ◽  
Masoud Kheirgoo ◽  
Jamshid Yazdani ◽  
Mozhdeh Dabirian
Keyword(s):  
Aortic Valve ◽  
Left Ventricular ◽  
Epicardial Fat ◽  
Left Ventricular Ejection ◽  
Aortic Valve Sclerosis ◽  
Ventricular Ejection Fraction ◽  
Epicardial Fat Thickness ◽  
Fat Thickness ◽  
Artery Disease ◽  
Score Index

Background Epicardial fat is a true visceral fat deposit with adverse effects through the secretion of numerous proinflammatory and proatherogenic cytokines. Previous studies showed an association between aortic valve sclerosis and coronary artery disease. The aim of this study was to determine the correlation between epicardial fat thickness and aortic valve sclerosis. Method The study involved 225 patients who were admitted for coronary angiography due to new-onset angina. They underwent transthoracic echocardiography and epicardial fat thickness was determined. The sclerosis scoring of each aortic cusp, average aortic valve sclerosis score index, and left ventricular ejection fraction were determined. The variables of left ventricular diastolic function obtained included the early diastolic velocity determined by transmitral pulsed Doppler, and early mitral annular velocity measured by tissue Doppler. Results Patients with an epicardial fat thickness ≥7 mm were older ( p = 0.006), with more hypertension ( p = 0.045) and hyperlipidemia ( p < 0.001). Their average aortic valve sclerosis score index was higher (1.4 ± 1.02 vs. 0.86 ± 0.85, p = 0.001), and left ventricular ejection fraction and early mitral annular velocity were lower ( p < 0.001 and 0.03, respectively). They also exhibited more left ventricular hypertrophy ( p = 0.026) and a trend towards more significant coronary artery disease and 3-vessel disease ( p = 0.086 and 0.073, respectively). Conclusion Our findings confirm that epicardial fat as a marker of visceral adipose tissue may have an important role in promoting inflammatory and atherosclerotic changes in the aortic valve.

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