Obesity

Association of epicardial adipose tissue on magnetic resonance imaging with cardiovascular outcomes: Quality over quantity?

Obesity (Silver Spring)Published Prospective observational cohort study

Authors' conclusion

EAT quality (as assessed via CMR T1 times), but not EAT quantity, is independently associated with a composite endpoint of nonfatal myocardial infarction, heart failure hospitalization, and all-cause death.

Study context

Population
All-comer cohort undergoing cardiac magnetic resonance (CMR); 47.2% female, mean age 58.4 years
Participants
966 participants
Outcome
Composite of:
  • Nonfatal MI
  • HF hospitalization
  • All-cause death
Follow-up
57.7 months
Methodological detailsprospective observational CMR registry, all-comer cohort
  • Prospective observational CMR registry
  • All-comer cohort

Main finding

As reported in the abstract

Composite of:
  • Nonfatal MI
  • HF hospitalization
  • All-cause death
By EAT-T1

Events

280

29.0%

EAT T1 times (EAT-T1), aHR per SD (adjusted for established clinical risk); 95% CI 1.022-1.413; p = 0.026

1.202

Observational data: associations, not effects.

Further findings

Epicardial adipose tissue (EAT) area and EAT-T1

Mean EAT area
7.3 cm²
Mean EAT-T1
268 ms

EAT-T1 vs markers of obesity, dyslipidemia, comorbidities (linear regression)

EAT-T1 not associated with markers of obesity, dyslipidemia, or comorbidities such as diabetes (p > 0.05 for all)

Original publication

Association of epicardial adipose tissue on magnetic resonance imaging with cardiovascular outcomes: Quality over quantity? Obesity (Silver Spring). Published 28 August 2024. doi:10.1002/oby.24105

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