Pericardial fat versus BMI in the assessment of coronary atherosclerotic burden in patients with diabetes mellitus

Aortic root diameter, main pulmonary artery diameter/aortic root diameter and pericardial fat volume as predictors of occlusive coronary artery disease

“…Patients who had chest pain suggestive of CAD and underwent a 64-multislice multi-detector CT angiography exam to determine if there was any occlusive CAD were included in this study. A history of cardiac risk factors for CAD was obtained from each patient at the time of MDCT examination, including age, sex, hypertension, diabetes mellitus, smoking, family history of premature CAD, dyslipidemia, and BMI as described in detail in our previous study [10].…”

“…CT coronary angiography was performed with a 64-slice scanner (Aquilon 64, v. 4.51 ER 010; Toshiba Medical Systems, Tochigi, Japan), with retrospective electrocardiography gating, as described in detail previously [10]. For the measurement of PFV, the amount of fat within the pericardial sac (PFV) was quantified in a 3D manner with the help of contrastenhanced imaging.…”

“…Recently, pericardial fat, owing to its anatomical proximity to the heart and coronary arteries and its local and systemic adverse effects, has potential diagnostic and predictive values in assessing cardiovascular risk and CAD risk stratification [9,10]. Local adverse effects of pericardial fat, through its paracrine and endocrine roles, may mediate anatomical and functional changes on coronary arteries, aortic valve, and aortic root leading to coronary atherosclerosis and increased aortic diameter and stiffness, but the exact pathophysiologic mechanism was still unclear and there is a paucity of data concerning the association of pericardial fat volume (PFV) and occlusive CAD among different ethnic groups with different risk factors for CAD [1,11].…”

Combined Volume Reduction Surgery and Lymphaticovenular Anastomosis for Treatment of Lower Leg Lymphedema

“…Compared with normal obese patients, severely obese patients have been reported to have various adverse effects such as cardiac disease and limited daily activities due to the load burden on their hip and knee joints. 3,4 LVA is a highly versatile technique for improving lymphatic flow. Surgical fat reduction is also used to improve severe obesity.…”

“…Compared with normal obese patients, severely obese patients have been reported to have various adverse effects such as cardiac disease and limited daily activities due to the load burden on their hip and knee joints. 3,4…”