Comparison of Epicardial Fat Volume by Computed Tomography in Black Versus White Patients With Acute Chest Pain
Disparities in the risk of coronary artery disease (CAD) between races may be influenced by differences in the thoracic adipose tissue. We compared computed tomography (CT)–derived volumes of epicardial adipose tissue (EAT), mediastinal adipose tissue (MAT), and pericoronary fat thickness (PFT) and...
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| Veröffentlicht in: | The American journal of cardiology 2014-02, Vol.113 (3), p.422-428 |
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| creator | Apfaltrer, Paul, MD Schindler, Andreas, MD Schoepf, U. Joseph, MD Nance, John W., MD Tricarico, Francesco, MD Ebersberger, Ullrich, MD McQuiston, Andrew D., BS Meyer, Mathias, MD Henzler, Thomas, MD Schoenberg, Stefan O., MD Bamberg, Fabian, MD, MPH Vliegenthart, Rozemarijn, MD, PhD |
| description | Disparities in the risk of coronary artery disease (CAD) between races may be influenced by differences in the thoracic adipose tissue. We compared computed tomography (CT)–derived volumes of epicardial adipose tissue (EAT), mediastinal adipose tissue (MAT), and pericoronary fat thickness (PFT) and correlations with CAD between black and white patients. This institutional review board–approved Health Insurance Portability and Accountability Act–compliant study included 372 age- and gender-matched black versus white patients (186 black, 54 ± 11 years, 50% men; 186 white, 54 ± 11 years, 50% men) who underwent CT for chest pain evaluation. EAT, MAT, and PFT were measured. The amount of coronary calcium was quantified as calcium score. CAD was defined as ≥50% coronary artery narrowing. EAT and MAT volumes were significantly lower in black than white patients (59 [twenty-fifth to seventy-fifth percentile 39 to 84] vs 97 [67 to 132] cm3 and 44 [27 to 77] vs 87 [52 to 157] cm3 , for both p |
| doi_str_mv | 10.1016/j.amjcard.2013.10.014 |
| format | Article |
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Joseph, MD ; Nance, John W., MD ; Tricarico, Francesco, MD ; Ebersberger, Ullrich, MD ; McQuiston, Andrew D., BS ; Meyer, Mathias, MD ; Henzler, Thomas, MD ; Schoenberg, Stefan O., MD ; Bamberg, Fabian, MD, MPH ; Vliegenthart, Rozemarijn, MD, PhD</creator><creatorcontrib>Apfaltrer, Paul, MD ; Schindler, Andreas, MD ; Schoepf, U. Joseph, MD ; Nance, John W., MD ; Tricarico, Francesco, MD ; Ebersberger, Ullrich, MD ; McQuiston, Andrew D., BS ; Meyer, Mathias, MD ; Henzler, Thomas, MD ; Schoenberg, Stefan O., MD ; Bamberg, Fabian, MD, MPH ; Vliegenthart, Rozemarijn, MD, PhD</creatorcontrib><description>Disparities in the risk of coronary artery disease (CAD) between races may be influenced by differences in the thoracic adipose tissue. We compared computed tomography (CT)–derived volumes of epicardial adipose tissue (EAT), mediastinal adipose tissue (MAT), and pericoronary fat thickness (PFT) and correlations with CAD between black and white patients. This institutional review board–approved Health Insurance Portability and Accountability Act–compliant study included 372 age- and gender-matched black versus white patients (186 black, 54 ± 11 years, 50% men; 186 white, 54 ± 11 years, 50% men) who underwent CT for chest pain evaluation. EAT, MAT, and PFT were measured. The amount of coronary calcium was quantified as calcium score. CAD was defined as ≥50% coronary artery narrowing. EAT and MAT volumes were significantly lower in black than white patients (59 [twenty-fifth to seventy-fifth percentile 39 to 84] vs 97 [67 to 132] cm3 and 44 [27 to 77] vs 87 [52 to 157] cm3 , for both p <0.001). Mean PFT in black patients was slightly lower than white patients (17.2 ± 3.2 vs 18.1 ± 3.4 mm, p <0.01). The relation between race and extent of adipose tissue remained significant after adjustment for cardiovascular risk factors. Significant correlations were observed between EAT and MAT volumes and calcium score in black and white patients (r = 0.19 to 0.26, p <0.01). For both races, the level of thoracic fat measurements was higher in present versus absent coronary calcification. A greater amount of thoracic fat was found with obstructive CAD only in white patients. In conclusion, CT-derived measurements of thoracic fat differ between symptomatic black and white patients, suggesting a differential relation between thoracic adipose tissue and CAD pathophysiology by race.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2013.10.014</identifier><identifier>PMID: 24315112</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acute Disease ; Adipose Tissue - diagnostic imaging ; African Americans ; Atherosclerosis ; Blood pressure ; Body mass index ; Cardiovascular ; Cardiovascular disease ; Chest Pain - diagnostic imaging ; Chest Pain - ethnology ; European Continental Ancestry Group ; Female ; Follow-Up Studies ; Health Insurance Portability & Accountability Act 1996-US ; Heart rate ; Humans ; Hypertension ; Incidence ; Male ; Medical treatment ; Mens health ; Middle Aged ; Mortality ; Patients ; Pericardium - diagnostic imaging ; Pulmonary arteries ; Race ; Racial differences ; Retrospective Studies ; Software ; Studies ; Tomography ; Tomography, X-Ray Computed - methods ; United States - epidemiology ; Work stations</subject><ispartof>The American journal of cardiology, 2014-02, Vol.113 (3), p.422-428</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Feb 1, 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-a1c3bbf041b04efab2b5cabc435e2a1c1d2b40a1599999be38bfccee6eef8c483</citedby><cites>FETCH-LOGICAL-c448t-a1c3bbf041b04efab2b5cabc435e2a1c1d2b40a1599999be38bfccee6eef8c483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1477235347?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,64361,64363,64365,65309,72215</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24315112$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Apfaltrer, Paul, MD</creatorcontrib><creatorcontrib>Schindler, Andreas, MD</creatorcontrib><creatorcontrib>Schoepf, U. Joseph, MD</creatorcontrib><creatorcontrib>Nance, John W., MD</creatorcontrib><creatorcontrib>Tricarico, Francesco, MD</creatorcontrib><creatorcontrib>Ebersberger, Ullrich, MD</creatorcontrib><creatorcontrib>McQuiston, Andrew D., BS</creatorcontrib><creatorcontrib>Meyer, Mathias, MD</creatorcontrib><creatorcontrib>Henzler, Thomas, MD</creatorcontrib><creatorcontrib>Schoenberg, Stefan O., MD</creatorcontrib><creatorcontrib>Bamberg, Fabian, MD, MPH</creatorcontrib><creatorcontrib>Vliegenthart, Rozemarijn, MD, PhD</creatorcontrib><title>Comparison of Epicardial Fat Volume by Computed Tomography in Black Versus White Patients With Acute Chest Pain</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Disparities in the risk of coronary artery disease (CAD) between races may be influenced by differences in the thoracic adipose tissue. We compared computed tomography (CT)–derived volumes of epicardial adipose tissue (EAT), mediastinal adipose tissue (MAT), and pericoronary fat thickness (PFT) and correlations with CAD between black and white patients. This institutional review board–approved Health Insurance Portability and Accountability Act–compliant study included 372 age- and gender-matched black versus white patients (186 black, 54 ± 11 years, 50% men; 186 white, 54 ± 11 years, 50% men) who underwent CT for chest pain evaluation. EAT, MAT, and PFT were measured. The amount of coronary calcium was quantified as calcium score. CAD was defined as ≥50% coronary artery narrowing. EAT and MAT volumes were significantly lower in black than white patients (59 [twenty-fifth to seventy-fifth percentile 39 to 84] vs 97 [67 to 132] cm3 and 44 [27 to 77] vs 87 [52 to 157] cm3 , for both p <0.001). Mean PFT in black patients was slightly lower than white patients (17.2 ± 3.2 vs 18.1 ± 3.4 mm, p <0.01). The relation between race and extent of adipose tissue remained significant after adjustment for cardiovascular risk factors. Significant correlations were observed between EAT and MAT volumes and calcium score in black and white patients (r = 0.19 to 0.26, p <0.01). For both races, the level of thoracic fat measurements was higher in present versus absent coronary calcification. A greater amount of thoracic fat was found with obstructive CAD only in white patients. In conclusion, CT-derived measurements of thoracic fat differ between symptomatic black and white patients, suggesting a differential relation between thoracic adipose tissue and CAD pathophysiology by race.</description><subject>Acute Disease</subject><subject>Adipose Tissue - diagnostic imaging</subject><subject>African Americans</subject><subject>Atherosclerosis</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Chest Pain - diagnostic imaging</subject><subject>Chest Pain - ethnology</subject><subject>European Continental Ancestry Group</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Insurance Portability & Accountability Act 1996-US</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Mens health</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Patients</subject><subject>Pericardium - diagnostic imaging</subject><subject>Pulmonary arteries</subject><subject>Race</subject><subject>Racial differences</subject><subject>Retrospective Studies</subject><subject>Software</subject><subject>Studies</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>United States - epidemiology</subject><subject>Work stations</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFUsFu1DAQtRAVXQqfALLEhUsWj-1skguorFpAqtRKlHK0bGfCOk3i1E6Q9u9xtAtIvdQXa2bee2PPG0LeAFsDg82Hdq371upQrzkDkXJrBvIZWUFZVBlUIJ6TFWOMZxXI6pS8jLFNIUC-eUFOuRSQA_AV8Vvfjzq46AfqG3oxukXT6Y5e6one-W7ukZo9XWDzhDW99b3_FfS421M30M-dtvf0DkOcI_25cxPSGz05HKYUumlHz21i0e0O45QqbnhFThrdRXx9vM_Ij8uL2-3X7Or6y7ft-VVmpSynTIMVxjRMgmESG224ya02VooceSpCzY1kGvJqOQZFaRprETeITWllKc7I-4PuGPzDnLqr3kWLXacH9HNUaShsU-U5LNB3j6Ctn8OQXpdQRcFFLmSRUPkBZYOPMWCjxuB6HfYKmFocUa06OqIWR5Z0ciTx3h7VZ9Nj_Y_114IE-HQAYBrHb4dBRZsGaLF2Ae2kau-ebPHxkYLt3JCM7O5xj_H_b1Tkiqnvy1osWwGC8UQvxB-qLrRZ</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Apfaltrer, Paul, MD</creator><creator>Schindler, Andreas, MD</creator><creator>Schoepf, U. 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Joseph, MD ; Nance, John W., MD ; Tricarico, Francesco, MD ; Ebersberger, Ullrich, MD ; McQuiston, Andrew D., BS ; Meyer, Mathias, MD ; Henzler, Thomas, MD ; Schoenberg, Stefan O., MD ; Bamberg, Fabian, MD, MPH ; Vliegenthart, Rozemarijn, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-a1c3bbf041b04efab2b5cabc435e2a1c1d2b40a1599999be38bfccee6eef8c483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acute Disease</topic><topic>Adipose Tissue - diagnostic imaging</topic><topic>African Americans</topic><topic>Atherosclerosis</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Chest Pain - diagnostic imaging</topic><topic>Chest Pain - ethnology</topic><topic>European Continental Ancestry Group</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Insurance Portability & Accountability Act 1996-US</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical treatment</topic><topic>Mens health</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Patients</topic><topic>Pericardium - diagnostic imaging</topic><topic>Pulmonary arteries</topic><topic>Race</topic><topic>Racial differences</topic><topic>Retrospective Studies</topic><topic>Software</topic><topic>Studies</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>United States - epidemiology</topic><topic>Work stations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Apfaltrer, Paul, MD</creatorcontrib><creatorcontrib>Schindler, Andreas, MD</creatorcontrib><creatorcontrib>Schoepf, U. 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Joseph, MD</au><au>Nance, John W., MD</au><au>Tricarico, Francesco, MD</au><au>Ebersberger, Ullrich, MD</au><au>McQuiston, Andrew D., BS</au><au>Meyer, Mathias, MD</au><au>Henzler, Thomas, MD</au><au>Schoenberg, Stefan O., MD</au><au>Bamberg, Fabian, MD, MPH</au><au>Vliegenthart, Rozemarijn, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Epicardial Fat Volume by Computed Tomography in Black Versus White Patients With Acute Chest Pain</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>113</volume><issue>3</issue><spage>422</spage><epage>428</epage><pages>422-428</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Disparities in the risk of coronary artery disease (CAD) between races may be influenced by differences in the thoracic adipose tissue. We compared computed tomography (CT)–derived volumes of epicardial adipose tissue (EAT), mediastinal adipose tissue (MAT), and pericoronary fat thickness (PFT) and correlations with CAD between black and white patients. This institutional review board–approved Health Insurance Portability and Accountability Act–compliant study included 372 age- and gender-matched black versus white patients (186 black, 54 ± 11 years, 50% men; 186 white, 54 ± 11 years, 50% men) who underwent CT for chest pain evaluation. EAT, MAT, and PFT were measured. The amount of coronary calcium was quantified as calcium score. CAD was defined as ≥50% coronary artery narrowing. EAT and MAT volumes were significantly lower in black than white patients (59 [twenty-fifth to seventy-fifth percentile 39 to 84] vs 97 [67 to 132] cm3 and 44 [27 to 77] vs 87 [52 to 157] cm3 , for both p <0.001). Mean PFT in black patients was slightly lower than white patients (17.2 ± 3.2 vs 18.1 ± 3.4 mm, p <0.01). The relation between race and extent of adipose tissue remained significant after adjustment for cardiovascular risk factors. Significant correlations were observed between EAT and MAT volumes and calcium score in black and white patients (r = 0.19 to 0.26, p <0.01). For both races, the level of thoracic fat measurements was higher in present versus absent coronary calcification. A greater amount of thoracic fat was found with obstructive CAD only in white patients. In conclusion, CT-derived measurements of thoracic fat differ between symptomatic black and white patients, suggesting a differential relation between thoracic adipose tissue and CAD pathophysiology by race.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24315112</pmid><doi>10.1016/j.amjcard.2013.10.014</doi><tpages>7</tpages></addata></record> |
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| subjects | Acute Disease Adipose Tissue - diagnostic imaging African Americans Atherosclerosis Blood pressure Body mass index Cardiovascular Cardiovascular disease Chest Pain - diagnostic imaging Chest Pain - ethnology European Continental Ancestry Group Female Follow-Up Studies Health Insurance Portability & Accountability Act 1996-US Heart rate Humans Hypertension Incidence Male Medical treatment Mens health Middle Aged Mortality Patients Pericardium - diagnostic imaging Pulmonary arteries Race Racial differences Retrospective Studies Software Studies Tomography Tomography, X-Ray Computed - methods United States - epidemiology Work stations |
| title | Comparison of Epicardial Fat Volume by Computed Tomography in Black Versus White Patients With Acute Chest Pain |
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