An obese 52-year-old woman underwent mitral valve replacement. On the first day after the operation, she had left-sided weakness. Brain CT showed right side middle cerebral artery infarction, and a hypodense filling defect was noted in the right distal internal carotid artery (figure, A). Region of interest measurement of CT density of the hypodense lesion was –83 Hounsfield units (figure, B), ...

Emerging evidence suggests that epicardial and pericardial fat are related to the presence, severity and outcome of AF. These associations, independent of generalized obesity, suggest that they may become increasingly useful as markers for risk stratification or monitoring in the clinical setting. Mechanistically, studies have suggested the effects of epicardial and pericardial fat may be media...

Obesity, insulin resistance and the metabolic syndrome, are characterized by expansion and inflammation of adipose tissue, including the depots surrounding the heart and the blood vessels. Epicardial adipose tissue (EAT) is a visceral thoracic fat depot located along the large coronary arteries and on the surface of the ventricles and the apex of the heart, whereas perivascular adipose tissue (...

BACKGROUND Obstructive sleep apnea (OSA) and metabolic syndrome, both closely related to obesity, often coexist in affected individuals; however, body mass index is not an accurate indicator of body fat and thus is not a good predictor of OSA and other comorbidities. The aim of this study was to investigate whether the occurrence of OSA could be associated with an altered body fat distribution ...

BACKGROUND AND OBJECTIVES Major epicardial fat pads contain cardiac ganglionated plexi (GP) of the autonomic nervous system. Autonomic denervation may improve the success rate of atrial fibrillation (AF) ablation. This study was designed to elucidate the acute effects of blocking the right atrium-pulmonary vein (RA-PV) and left atrium-inferior vena cava (LA-IVC) fat pads on the electrophysiolog...

Background : Epicardial fat thickness and HBA1C level are usefull independent indicator for metabolic syndrome type 2 diabetus mellitus respectively10,9 .studies on the correlation between epicardial in coronary artery disease limited .Hence we aim to evaluate of acute syndrome. Objective The Target this work was investigate link Methodology 123 patient .Electrocardiogram (ECG), pad measured us...

The presence of intramyocardial fat may form a substrate for arrhythmias, and fibrofatty infiltration of the myocardium has been shown to be associated with sudden death. Therefore, noninvasive detection could have high prognostic value. Fat-water-separated imaging in the heart by MRI is a sensitive means of detecting intramyocardial fat and characterizing fibrofatty infiltration. It is also us...

Background Myocardial T1 mapping is emerging as powerful tool for tissue characterization, however the presence of intramyocardial or epicardial fat can contaminate T1 values through partial voluming, or preclude analysis, particularly in areas of infarct or thin walled myocardium, such as the right ventricle. We propose and evaluate a new combined fat-water separated saturation-recovery imagin...