Evidence map›Paper›PMID 40616590›Full record

ArticleClinical cardiology2025

Epicardial Fat Thickness as a Marker of Coronary Artery Disease in Diabetics: A Single Center Study.

Abdul Nadeem Akhter, Fnu Aisha, Aimen Binte Moazzam, Sardar Humayun Babar Khan, Jahanzeb Malik, Abida Parveen

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Article in Clinical cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Abdul Nadeem AkhterDepartment of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan.
Fnu AishaDepartment of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan.
Aimen Binte MoazzamDepartment of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan.
Sardar Humayun Babar KhanDepartment of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan.
Jahanzeb MalikDepartment of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan.ORCID https://orcid.org/0000-0002-9343-4187
Abida ParveenDepartment of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan.ORCID https://orcid.org/0009-0002-3310-5442

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundEpicardial fat thickness (EFT) is a visceral fat depot with pro-inflammatory properties, located adjacent to coronary vessels, and has been proposed as a marker of coronary artery disease (CAD). This study aimed to evaluate the association between EFT and the presence and severity of CAD in patients with type 2 diabetes mellitus.

methodsThis retrospective study was conducted at the Abbas Institute of Medical Sciences (AIMS) between January 2020 and March 2025 (Study ID: AIMS/25/007). A total of 2340 diabetic patients (mean age: 58.3 ± 9.6 years) were included. EFT was measured using transthoracic echocardiography, and CAD presence and severity were assessed via coronary angiography. Logistic regression analysis was used to evaluate associations, with results expressed as odds ratios (OR) with 95% confidence intervals (CI).

resultsElevated EFT (≥ 5 mm) was observed in 1281 patients (54.7%). CAD was present in 1121 individuals (47.9%), with significantly higher rates in those with elevated EFT (65.7% vs. 26.3%, p < 0.001). EFT ≥ 5 mm was associated with a 5.38-fold increased odds of CAD (95% CI: 4.59-6.30, p < 0.001). Moreover, patients with elevated EFT had a significantly higher prevalence of multi-vessel CAD, indicating a correlation between EFT and disease severity.

conclusionsIn diabetic patients, elevated EFT is significantly associated with both the presence and severity of CAD. EFT measurement via echocardiography may serve as a simple, noninvasive tool for cardiovascular risk stratification and early intervention planning.

Indexed as

Coronary Artery DiseaseDiabetes Mellitus, Type 2Intra-Abdominal FatPericardiumAdipose TissueAgedCoronary AngiographyEchocardiographyEpicardial Adipose TissueFemaleHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsCAD severitycardiovascular diseasecoronary artery diseaseechocardiographyepicardial fat thicknessnoninvasive markerrisk stratificationtype 2 diabetes mellitus

Identifiers

PMID40616590
PMCPMC12228419

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