The impact of epicardial adipose tissue in patients with acute myocardial infarction

Christoph Fisser, Stefan Colling, Kurt Debl, Andrea Hetzenecker, Ulrich Sterz, Okka W. Hamer, Claudia Fellner, Lars S. Maier, Stefan Buchner, Michael Arzt
2021
Aims Epicardial adipose tissue (EAT) has been linked to impaired reperfusion success after percutaneous coronary intervention (PCI). Whether EAT predicts myocardial damage in the early phase after acute myocardial infarction (MI) is unclear. Therefore, we investigated whether EAT in patients with acute MI is associated with more microvascular obstruction (MVO), greater ST-deviation, larger infarct size and reduced myocardial salvage index (MSI). Methods and results This retrospective analysis
more » ... spective analysis of a prospective observational study including patients with acute MI (n = 54) undergoing PCI and 12 healthy matched controls. EAT, infarct size and MSI were analyzed with cardiac magnetic resonance imaging, conducted 3–5 days and 12 weeks after MI. Patients with acute MI showed higher EAT volume than healthy controls (46 [25.;75. percentile: 37;59] vs. 24 [15;29] ml, p
doi:10.5283/epub.45811 fatcat:s6goumbm7jhhjd5a7mwj4vykqe