The effect of epicardial adipose tissue thickness on left ventricular diastolic functions in patients with normal coronary arteries

2016 ◽  
pp. 196-203 ◽  
Author(s):  
Mustafa Topuz ◽  
Ali Dogan
2020 ◽  
Vol 10 (3) ◽  
pp. 390-396
Author(s):  
Sabiye YILMAZ ◽  
Saadet DEMİRTAS INCİ ◽  
Kahraman COŞANSU ◽  
Huseyin GÜNDÜZ ◽  
Harun KILIÇ

2016 ◽  
Vol 43 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Aycan Fahri Erkan ◽  
Asli Tanindi ◽  
Sinan Altan Kocaman ◽  
Murat Ugurlu ◽  
Hasan Fehmi Tore

Epicardial adipose tissue thickness is associated with the severity and extent of atherosclerotic coronary artery disease. We prospectively investigated whether epicardial adipose tissue thickness is related to coronary artery disease extent and complexity as denoted by Gensini and Syntax scores, and whether the thickness predicts critical disease. After performing coronary angiography in 183 patients who had angina or acute myocardial infarction, we divided them into 3 groups: normal coronary arteries, noncritical disease (≥1 coronary lesion with <70% stenosis), and critical disease (≥1 coronary lesion with <70% stenosis). We used transthoracic echocardiography to measure epicardial adipose tissue thickness, then calculated Gensini and Syntax scores by reviewing the angiograms. Mean thicknesses were 4.3 ± 0.9, 5.2 ± 1.5, and 7.5 ± 1.9 mm in patients with normal coronary arteries, noncritical disease, and critical disease, respectively (P <0.001). At progressive thicknesses (<5, 5–7, and >7 mm), mean Gensini scores were 4.1 ± 5.5, 19.8 ± 15.6, and 64.9 ± 32.4, and mean Syntax scores were 4.7 ± 5.9, 16.6 ± 8.5, and 31.7 ± 8.7, respectively (both P <0.001). Thickness had strong and positive correlations with both scores (Gensini, r =0.82, P <0.001; and Syntax, r =0.825, P <0.001). The cutoff thickness value to predict critical disease was 5.75 mm (area under the curve, 0.875; 95% confidence interval, 0.825–0.926; P <0.001). Epicardial adipose tissue thickness is independently related to coronary artery disease extent and complexity as denoted by Gensini and Syntax scores, and it predicts critical coronary artery disease.


2015 ◽  
Vol 45 (3) ◽  
pp. 210 ◽  
Author(s):  
Erdal Belen ◽  
Aleks Değirmencioğlu ◽  
Ertuğrul Zencirci ◽  
Fatih Fahri Tipi ◽  
Özgür Altun ◽  
...  

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