Table 2. Association of epicardial/thoracic fat with MACE in prospective registries of asymptomatic patients undergoing Coronary Calcium Scoring.
N | Outcome variable | Fat measure from CT | Odds ratio (95% CI) |
---|---|---|---|
Framingham (8)*, 1,267 patients | Coronary Heart Disease (Myocardial infarction, angina, coronary insufficiency) | Epicardial fat volume | 1.92 (1.23-3.02), over visceral fat |
Myocardial infarction | Epicardial fat volume | 1.37 (1.03-1.82), over visceral fat | |
Stroke | Visceral fat | 1.83 (1.01-3.30), EFV not significant | |
EISNER (7)*, Matched study 232 patients (from registry of 2,751 patients) | MACE (Cardiac death, myocardial infarction, stroke, late revascularization) | Epicardial fat volume | 1.74 (1.03-2.95), over Framingham Risk Score and CCS |
Thoracic fat volume | 1.78 (1.01-3.14), over Framingham Risk Score and CCS | ||
MESA (9), Matched study 998 patients (from registry of 6,814 patients) | Coronary Heart Disease (Cardiac death, myocardial infarction, resuscitated cardiac arrest, angina) | Thoracic fat volume slab (4.5 cm-thick about Left Main Origin). Adjusted for gender, risk factors and CRP |
OR 1.26 (1.01-1.59), over BMI and waist circumference |
*: Extra-pericardial thoracic fat volume did not show significant relationship to adverse cardiovascular outcomes, suggesting a local effect.