The online version of this article (doi:10.1186/1475-2840-11-83) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
HMK researched data and wrote/edited the manuscript. KJK reviewed the manuscript. HJL performed the radiologic analysis. HTY contributed discussion. JHM researched data. ESK contributed discussion. BSC contributed discussion. HCL contributed discussion. BWL reviewed/edited the manuscript. YJK performed the radiologic analysis and reviewed/edited the manuscript. All authors read and approved the final manuscript.
We used cardiovascular magnetic resonance (CMR) to investigate the association between epicardial adipose tissue (EAT) thickness and silent myocardial ischemia, as well as coronary artery stenosis, in asymptomatic type 2 diabetic patients.
The study included 100 type 2 diabetic subjects (51 male and 49 female; mean age: 56 ± 7 years). Silent myocardial ischemia, as determined by CMR, was defined as evidence of inducible ischemia or myocardial infarction. Signal reduction or stenosis of ≥ 50% in the vessel diameter was used as the criteria for significant coronary artery stenosis on coronary magnetic resonance (MR) angiography.
EAT thickness was positively correlated with body mass index (BMI), waist-to-hip ratio, systolic blood pressure, postprandial glucose, fasting/postprandial triglyceride (TG), serum glycated hemoglobin (HbA1c) level, and homeostasis model assessment of insulin resistance (HOMA-IR) score. Significant coronary artery stenosis was found in 24 patients, while 14 patients had silent myocardial ischemia in CMR (1 with silent myocardial infarction, 11 with inducible ischemia, and 2 with both). EAT thickness was greater in patients who had coronary artery stenosis (13.0 ± 2.6 mm vs. 11.5 ± 2.1 mm, p = 0.01), but did not differ between the subjects with or without silent myocardial ischemia on CMR images (12.8 ± 2.1 vs. 11.7 ± 2.3 mm, p = 0.11). Multivariate logistic regression analysis indicated that EAT thickness was an independent indicator for significant coronary artery stenosis after adjusting for traditional risk factors (OR 1.403, p = 0.026).
Increased EAT thickness assessed by CMR is an independent risk factor for significant coronary artery stenosis in asymptomatic type 2 diabetes. However, EAT thickness was not associated with silent myocardial ischemia.
Authors’ original file for figure 112933_2012_504_MOESM1_ESM.pdf
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- Epicardial adipose tissue thickness is an indicator for coronary artery stenosis in asymptomatic type 2 diabetic patients: its assessment by cardiac magnetic resonance
Hyun Min Kim
Kwang Joon Kim
Hee Tae Yu
Jae Hoon Moon
Eun Seok Kang
Bong Soo Cha
Hyun Chul Lee
Young Jin Kim
- BioMed Central
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