Aims and objectives
Epicardial fat (EF) is the adipose tissue accumulated between the visceral fat deposit ,
located between the heart and the pericardium,
without the structure or fascia separating it from the myocardium and the epicardial vessels .
EF has a variable distribution,
being more prominent in the atrioventricular and interventricular grooves and right ventricular lateral wall.
Perivascular or pericoronary fat is adipose tissue around coronary vessels in the atrioventricular and interventricular grooves .The fat located on the outer surface of the fibrous pericardium differs from the...
Methods and materials
Population for our study included patients who underwent MSCT coronary angiography for suspected coronary artery disease (CAD) in time period from September 2017 to June 2018.
Those included 105 patients referred by cardiologists,
without previous history of coronary artery bypass graft (CABG) surgery,
percutaneous coronary intervention or diagnosed CAD.
CT coronary angiographies were performed on Siemens Somatom Sensation 64-slice CT scanner,
using standard protocol.
All patients included in the study were in the sinus rhythm,
heart frequency less than 65/min (those with faster heart rate...
Out of 105 patients,
46 were male and 59 female,
with mean age of 58 years (from 22 to 78).
In 45 patients (42,9%) there was no CAD,
and 60 patients (57,1%) had some type of CAD with 24 patients (22,9% of study group) had mild stenosis ,
20 patients (19%) had modetate stenosis and 16 patients (15,2%) had severe stenosis .
LAD was the most affected artery,
which showed some type of stenosis in 50,5% of cases.
In 22,9% patients there was stenosis of...
Many studies were focused on measuring epicardial fat volume of thickness,
but we wanted to focus on its distribution and proved that considering incidence and severity of stenosis,
PCFV had higher correlation than EFV.
EFV was proved to be more useful predictor for CAD in general.
Center for Radiology Diagnostics
Clinical Center of Montenegro
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