Myocardial fat content refers to the storage of triglyceride droplets within cardiomyocytes. In addition, the heart and arteries are surrounded by layers of adipose tissue, exerting vasocrine and paracrine control of the subtending tissues. The rapid development of the field of noninvasive imaging has made it possible to quantify ectopic fat masses and contents with an increasing degree of accu...

Dear Editor, We have read the article ” Epicardial fat thickness(EFT) in patients with rheumatoid arthritis” written by Erdem et al. with a great interest.1 The authors aimed to explain the relationship between epicardial fat thickness and clinical and echocardiographic parameters in patients with rheumatoid arthritis. They concluded that EFT as an indicator of cardiovascular involvement was hi...

Is this issue of the journal, Kim et al. 1) aimed to explain the association between epicardial fat thickness (EFT) and neutro-phil to lymphocyte ratio (NLR) as systemic inflammatory markers in hypertensive patients according to diurnal variation of blood pressure (BP). They concluded that EFT and NLR are independently associated with impaired diurnal variation of BP in hypertensive patients. R...

CONTEXT Hiatal hernia is an infrequent but serious cause of dyspnea. We report a case of acute dyspnea and paroxysmal nocturnal dyspnea secondary to hiatal hernia and epicardial fat pad. CASE REPORT A 78-year-old woman presented with dyspnea and paroxysmal nocturnal dyspnea. Lab data and physical examination were normal. Computed tomography scan demonstrated a large hiatal hernia and epicardi...