PMID- 36460985 OWN - NLM STAT- MEDLINE DCOM- 20221206 LR - 20221213 IS - 1471-2261 (Electronic) IS - 1471-2261 (Linking) VI - 22 IP - 1 DP - 2022 Dec 2 TI - Epicardial adipose tissue thickness is related to early subclinical myocardial dysfunction, particularly in patients with type 2 diabetes mellitus: a case control study. PG - 514 LID - 10.1186/s12872-022-02944-8 [doi] LID - 514 AB - BACKGROUND: Cardiac myofibrillary dysfunction, which can be measure by echocardiographical strain value, represents an early subclinical manifestation of heart failure. Epicardial Adipose tissue (EAT) is related to low degree inflammation and oxidative damage in the adjacent tissue. AIM: To explore whether EAT affects early myocardial dysfunction, as assessed strain values. METHODS: Case-Control design. Patients lacking clinical significant heart failure, thyroid or renal disease or malignant abnormalities were included. Clinical-demographic and biochemical data were collected. EAT and myofibril deformation were measured by echocardiography. RESULTS: A total of 71 patients were analyzed, and further subdivided according to type 2 Diabetes Mellitus (t2DM). Higher strain value (higher than -22.4%cut-off value) was associated with male sex and higher anthropometric and metabolic risk measures; particularly those with t2DM. Higher EAT was also associated higher strain value (AUC = 0.92 +/- 0.06, p = 0.004), and further correlation was evidenced (rho = 0.488, p < 0.001), with significant influence of t2DM. CONCLUSION: EAT was related to strain value, suggesting the influence of cardiac adipose tissue on the deformability of cardiac myofibril, with a more significant effect in the population with t2DM. CI - (c) 2022. The Author(s). FAU - Prestegui-Munoz, David Eduardo AU - Prestegui-Munoz DE AD - Hospital General de Ticoman, Secretaria de Salud Ciudad de Mexico, Mexico City, Mexico. FAU - Benitez-Maldonado, Daniel Rabindranath AU - Benitez-Maldonado DR AD - Hospital General de Ticoman, Secretaria de Salud Ciudad de Mexico, Mexico City, Mexico. FAU - Rodriguez-Alvarez, Karen AU - Rodriguez-Alvarez K AD - Hospital General de Ticoman, Secretaria de Salud Ciudad de Mexico, Mexico City, Mexico. FAU - de Jesus Prestegui-Munoz, Jose Angel AU - de Jesus Prestegui-Munoz JA AD - Escuela Nacional de Medicina y Homeopatia, Instituto Politecnico Nacional, Mexico City, Mexico. FAU - Melchor-Lopez, Alberto AU - Melchor-Lopez A AD - Hospital General Xoco, Secretaria de Salud Ciudad de Mexico, Mexico City, Mexico. FAU - Suarez-Cuenca, Juan Antonio AU - Suarez-Cuenca JA AD - Hospital General Xoco, Secretaria de Salud Ciudad de Mexico, Mexico City, Mexico. suarej05@gmail.com. LA - eng PT - Journal Article DEP - 20221202 PL - England TA - BMC Cardiovasc Disord JT - BMC cardiovascular disorders JID - 100968539 SB - IM MH - Humans MH - Male MH - *Diabetes Mellitus, Type 2/complications/diagnosis MH - Case-Control Studies MH - Adipose Tissue/diagnostic imaging MH - Heart MH - *Heart Failure PMC - PMC9717527 OTO - NOTNLM OT - Diabetes mellitus OT - Epicardial adipose thickness OT - Strain COIS- The authors declare no conflict of interest. EDAT- 2022/12/03 06:00 MHDA- 2022/12/07 06:00 PMCR- 2022/12/02 CRDT- 2022/12/02 23:45 PHST- 2022/01/15 00:00 [received] PHST- 2022/11/09 00:00 [accepted] PHST- 2022/12/02 23:45 [entrez] PHST- 2022/12/03 06:00 [pubmed] PHST- 2022/12/07 06:00 [medline] PHST- 2022/12/02 00:00 [pmc-release] AID - 10.1186/s12872-022-02944-8 [pii] AID - 2944 [pii] AID - 10.1186/s12872-022-02944-8 [doi] PST - epublish SO - BMC Cardiovasc Disord. 2022 Dec 2;22(1):514. doi: 10.1186/s12872-022-02944-8.