1. Epicardial Fat Volume Is Associated with Endothelial Dysfunction, but not with Coronary Calcification: From the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
- Author
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Martins, Karina PMP, Barreto, Sandhi M, Bos, Daniel, Pedrosa, Jesiana, Azevedo, Douglas RM, Araujo, Larissa Fortunato, Foppa, Murilo, Duncan, Bruce B, Ribeiro, Antonio Luiz P, and Brant, Luisa CC
- Abstract
BACKGROUND: The increase in epicardial fat volume (EFV) is related to coronary artery disease (CAD), independent of visceral or subcutaneous fat. The mechanism underlying this association is unclear. Coronary artery calcium (CAC) score and endothelial dysfunction are related to coronary events, but whether EFV is related to these markers needs further clarification. OBJECTIVES: To evaluate the association between automatically measured EFV, cardiovascular risk factors, CAC, and endothelial function. METHODS: In 470 participants from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) with measures of EFV, CAC score and endothelial function, we performed multivariable models to evaluate the relation between cardiovascular risk factors and EFV (response variable), and between EFV (explanatory variable) and endothelial function variables or CAC score. Two-sided p 0. CONCLUSION: Higher EFV was associated with impaired endothelial function, but not with CAC. The results suggest that EFV is related to the development of CAD through a pathway different from the CAC pathway, possibly through aggravation of endothelial dysfunction and microvascular disease. ispartof: ARQUIVOS BRASILEIROS DE CARDIOLOGIA vol:119 issue:6 pages:912-920 ispartof: location:Brazil status: published
- Published
- 2022