PMID- 31795098 OWN - NLM STAT- MEDLINE DCOM- 20200414 LR - 20200414 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 20 IP - 23 DP - 2019 Nov 28 TI - Epicardial Adipose Tissue: Clinical Biomarker of Cardio-Metabolic Risk. LID - 10.3390/ijms20235989 [doi] LID - 5989 AB - Epicardial adipose tissue (EAT) is part of the visceral adipose tissue (VAT) that surrounds the heart and it is a quantifiable, modifiable, and multifaceted tissue that has both local and systemic effects. When EAT is enlarged, EAT contributes to atherosclerotic cardiovascular disease (ASCVD) risk and plays a role in the development of metabolic syndrome (MetS). In this review, we will discuss the role of EAT in various facets of MetS, including type 2 diabetes mellitus (T2DM) and insulin resistance. We examine the association between EAT and liver steatosis. We also address the correlations of EAT with HIV therapy and with psoriasis. We discuss racial differences in baseline EAT thickness. We conclude that EAT measurement serves as a powerful potential diagnostic tool in assessing cardiovascular and metabolic risk. Measurement of EAT is made less costly, more convenient, and yet accurate and reliable by transthoracic echocardiography. Furthermore, modification of EAT thickness has therapeutic implications for ASCVD, T2DM, and MetS. FAU - Villasante Fricke, Alexandra C AU - Villasante Fricke AC AD - Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Miami, Miller School of Medicine, Miami, FL 33136, USA. FAU - Iacobellis, Gianluca AU - Iacobellis G AD - Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Miami, Miller School of Medicine, Miami, FL 33136, USA. AD - Clinical Medicine Division of Diabetes, Endocrinology and Metabolism University of Miami, Miller School of Medicine, Miami, FL, USA 1400 NW 10th Ave, Dominion Tower Suite 805-807 Miami, FL 33136, USA. LA - eng PT - Journal Article PT - Review DEP - 20191128 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Biomarkers) SB - IM MH - Biomarkers/metabolism MH - Cardiovascular Diseases/epidemiology/*metabolism/pathology MH - Humans MH - Intra-Abdominal Fat/*metabolism/pathology MH - Lipid Metabolism MH - Metabolic Syndrome/epidemiology/*metabolism/pathology MH - Pericardium/*metabolism/pathology PMC - PMC6929015 OTO - NOTNLM OT - HIV OT - atherosclerotic cardiovascular risk OT - cardiometabolic risk OT - epicardial adipose tissue OT - epicardial fat OT - metabolic syndrome OT - psoriasis OT - race OT - visceral adipose tissue COIS- The authors declare no conflicts of interest. EDAT- 2019/12/05 06:00 MHDA- 2020/04/15 06:00 PMCR- 2019/12/01 CRDT- 2019/12/05 06:00 PHST- 2019/10/30 00:00 [received] PHST- 2019/11/23 00:00 [revised] PHST- 2019/11/26 00:00 [accepted] PHST- 2019/12/05 06:00 [entrez] PHST- 2019/12/05 06:00 [pubmed] PHST- 2020/04/15 06:00 [medline] PHST- 2019/12/01 00:00 [pmc-release] AID - ijms20235989 [pii] AID - ijms-20-05989 [pii] AID - 10.3390/ijms20235989 [doi] PST - epublish SO - Int J Mol Sci. 2019 Nov 28;20(23):5989. doi: 10.3390/ijms20235989.