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. 2012 Jun;2(2):85–93. doi: 10.3978/j.issn.2223-3652.2012.04.03

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.