Echocardiographic Epicardial Fat Thickness among Metabolic Syndrome Patients with Its Determinants

K. A. M. Mahbub Hasan^1, , M. Atahar Ali², Nupur Kar³, Pradip Kumar Karmakar³, Md. Abdullah Yusuf⁴ and Naheed Fatema⁵

¹Department of Cardiology, National Institute of Cardiovascular Diseases, Sher-E-Bangla Nagar, Dhaka, Bangladesh

²Department of Cardiology, Evercare Hospital Limited, Dhaka, Bangladesh

³Department of Cardiology, National Institute of Cardiovascular Diseases, Dhaka, Bangladesh

⁴Department of Microbiology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh

⁵Department of Obstetrics and Gynecology, Bangladesh Medical College, Dhaka, Bangladesh

Cite this paper:
K. A. M. Mahbub Hasan, M. Atahar Ali, Nupur Kar, Pradip Kumar Karmakar, Md. Abdullah Yusuf and Naheed Fatema. Echocardiographic Epicardial Fat Thickness among Metabolic Syndrome Patients with Its Determinants. American Journal of Cardiovascular Disease Research. 2022; 8(1):49-52. doi: 10.12691/ajcdr-8-1-5

Abstract

Background: Echocardiographic epicardial fat thickness may be associated with metabolic syndrome. Objective: The purpose of the present study was to see the association of epicardial fat thickness with metabolic syndrome. Methodology: This comparative cross-sectional study was conducted in the Department of Cardiology at National Institute of Cardiovascular Diseases, Dhaka, Bangladesh from April 2017 to March 2018 for a period of one year. Depending on the diagnosis of metabolic syndrome (MetS), patients were divided into two groups, group I patients with MetS and group II patients without MetS. The epicardial fat thickness of group I and group II were prospectively examined by echocardiography. Then the comparison of the epicardial fat thickness was done between the two groups. Result: A total of 130 patients were included in this study of which 65 patients were assigned in group I and the rest of 65 patients were assigned in group II. The mean age of group I and group II patients were 44.4±9.8 years and 43.7±10.2 years (p = 0.77). The mean epicardial fat thickness (mm) was found significantly higher in patients with metabolic syndrome than in patients without metabolic syndrome which was 5.7 ± 0.83 mm and 2.7 ± 0.86 mm (p=0.001). The analysis had revealed that BMI, LDL, HDL, FBS, WC, age and diagnosis of metabolic syndrome were the independent determinants of increased epicardial fat thickness (p<0.05). Conclusion: In conclusion metabolic syndrome is associated with increased echocardiographic epicardial fat thickness.

Keywords:
association echocardiography epicardial fat thickness metabolic syndrome lipid profiles

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