Artículo
Pericardial and visceral, but not total body fat, are related to global coronary and extra-coronary atherosclerotic plaque burden
Rodriguez Granillo, Gaston Alfredo
; Reynoso, Exequiel; Capunay, Carlos; Carpio, Jimena; Carrascosa, Patricia
![Icon](/themes/CONICETDigital/images/conicet.png)
Fecha de publicación:
01/06/2018
Editorial:
Elsevier Ireland
Revista:
International Journal of Cardiology
ISSN:
0167-5273
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
Resumen
Background: To explore the relationship between coronary and extra-coronary atherosclerotic plaque burden with total and regional fat depots among patients undergoing ECG-gated aortic computed tomography angiography (CTA). Methods: The subjects of this study comprised a cohort of consecutive patients who underwent ECG-gated thoracoabdominal CTA. We assessed the number of coronary segments with plaques (segment-involvement score, SIS); and the extra-coronary atherosclerotic plaque burden, comprising the aorta and supra-aortic trunks, iliofemoral arteries, and visceral arteries (extra-coronary SS). Total and regional fat volume (FV) were calculated. Results: A total of 2700 vascular segments were evaluated in 90 patients. Obese patients (n = 31, 34%) showed similar coronary SIS (p = 0.41) and extra-coronary SS (p = 0.22) than non-obese patients. General body fat measurements were not related to atherosclerotic plaque burden scores, without associations between coronary or extra-coronary plaque burden and BMI (p = 0.68, and p = 0.91), abdominal circumference (p = 0.13, p = 0.89), total body FV (p = 0.50, p = 0.98), or abdominal FV (p = 0.51, p = 0.99). Pericardial FV was related to coronary SIS (p < 0.0001) and extra-coronary SS (p = 0.008), and visceral FV was related to the coronary SIS (p = 0.006) and extra-coronary SS (p = 0.056). Abdominal subcutaneous fat was inversely related to coronary SIS (p = 0.038) and extra-coronary SS (p = 0.010). Pericardial FV was identified as the only independent predictor of extensive coronary [OR 1.020 (95% CI 1.001–1.039), p = 0.036] and extra-coronary [OR 1.018 (95% CI 1.001–1.036), p = 0.035] plaque burden. Conclusions: In the present study, pericardial and visceral fat were associated with an increased atherosclerotic burden, whereas we identified an inverse relationship between subcutaneous abdominal fat and plaque burden.
Palabras clave:
ATHEROSCLEROSIS
,
CALCIFICATION
,
COMPUTED TOMOGRAPHY
,
IMAGING
,
OBESITY
Archivos asociados
Licencia
Identificadores
Colecciones
Articulos(ININCA)
Articulos de INST.DE INVEST.CARDIOLOGICAS (I)
Articulos de INST.DE INVEST.CARDIOLOGICAS (I)
Citación
Rodriguez Granillo, Gaston Alfredo; Reynoso, Exequiel; Capunay, Carlos; Carpio, Jimena; Carrascosa, Patricia; Pericardial and visceral, but not total body fat, are related to global coronary and extra-coronary atherosclerotic plaque burden; Elsevier Ireland; International Journal of Cardiology; 260; 1-6-2018; 204-210
Compartir
Altmétricas