th specific strategies directed towards the same.

5. Limitations

Ÿ The present study being a cross sectional study could not establish causality between EFT and CAD. A prospective study needs to be undertaken for the same in future.

Ÿ The controls being healthy individuals were devoid of risk factors. Studies in non CAD patients with presence of risk factors would be more appropriate.

Ÿ Sample size of our study was 100 patients. Study involving large sample size would yield better results.

Ÿ As it is a hospital based study, it might not give the exact representation of the entire population.

6. Conclusion

Epicardial fat thickness significantly correlated with the severity of coronary artery stenosis angiographically and can be used for risk stratification. Echocardiography is an easy, inexpensive and non-invasive method for measurement of epicardial fat. There are several established CAD risk factors, such as obesity, hypertension, diabetes mellitus, smoking and dyslipidemia, but among these well known risk factors, epicardial fat thickness emerged as an independent predictor of CAD. In order to include it in the armamentarium of conventional tools for assessment of coronary artery disease, a larger study with promising results needs to be done. However, in the present scenario, we can safely conclude that this novel parameter holds great importance for assessment of CAD in future.

Conflicts of Interest

The authors declare no conflicts of interest regarding the publication of this paper.

Cite this paper

Swaroop, S., Tripathy, S.K., Sahu, N.C., Das, B. and Satpathy, M. (2019) Epicardial Fat Thickness and its Association as a Risk Factor for Coronary Artery Disease. World Journal of Cardiovascular Diseases, 9, 193-201.


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