The Correlation of Epicardial Fat Thickness with Ischemic Heart Disease among Patients Consulting Merjan Medical City in Babil

Abstract

Introduction: Epicardial fat thickness (EFT) is regarded as marker of cardiovascular risk.
Aim of Study: To show if there is correlation between EFT with ischemia and its correlation with other
variable as age, sex, hypertension, Diabetes, smoking and Body mass index.
Patients and Method: We studied 100 patients who consulting merjan medical city in Babylon province
for the period from December 2017 to May 2018. Transthoracic echocardiography was done for all patients;
we measure wall motion score and EFT. 50 patients hadischemic heart disease (IHD). EFT measured at free
wall of RV at end systole both group from short axis view and long axis view and wall motion score also
measured according to this formula.
Results: Mean age was (58.67±13.3), 50% had hypertension, 45% had diabetes .74 patient were male 37%
are smoker regardingbody mass index, 31.87% are obese, 31.87% over weight 36.2% are normal body mass
index. PT with no IHD had normal wall motion score 16/16 While IHD group PT had higher than 16-wall
motion score. EFT had significant correlation with high ischemic score, EFT was higher among smoker
patients(p value 0.001) and diabetic patients(p value 0.005) and hypertensive patients (p value 0.002).
Patients with increasing BMI had higher EFT(p value 0.001).
Conclusions: This study concludes that patients with higher EFT had higher ischemic score, so it is arisk
factor of IHD. EFT more than 5.5 in male and 5.7 in female associated with ischemia. Epicardial fat increase
with higher BMI and more in smoker,HT and diabetic patients.