ArticleFrontiers in cardiovascular medicine2026
Combined assessment of carotid intima-media thickness and epicardial fat thickness for cardiovascular risk stratification in asymptomatic South Indian adults.
Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Carotid intima-media thickness (cIMT) and epicardial fat thickness (EFT) are non-invasive imaging markers associated with cardiovascular risk. This study evaluated the associations between cIMT, EFT, individual cardiovascular risk factors, cumulative cardiovascular risk-factor burden in asymptomatic adults undergoing routine cardiovascular health assessment. Methods: A cross-sectional study was conducted in 925 asymptomatic adults aged ≥18 years undergoing routine cardiovascular health evaluations. Participants were classified into a control group without cardiovascular risk factors ( Results: Participants with one or more cardiovascular risk factors demonstrated significantly greater right cIMT (0.681 ± 0.186 mm vs. 0.576 ± 0.144 mm, Conclusions: Asymptomatic adults with cardiovascular risk factors demonstrated significantly greater carotid intima-media thickness and epicardial fat thickness than those without risk factors. Increasing age and cumulative cardiovascular risk-factor burden were associated with progressive increases in both imaging markers. These findings support the use of cIMT and EFT as complementary non-invasive imaging markers that may improve cardiovascular risk stratification alongside conventional risk assessment.
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