The relationship between epicardial adipose tissue and coronary artery stenosis by sex and menopausal status in patients with suspected angina

Mi Na Kim, Seong-Mi Park, Dong Hyuk Cho, Hack Lyoung Kim, Mi Seung Shin, Myung A. Kim, Kyung Soon Hong, Wan Joo Shim

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Evidence suggests that epicardial adipose tissue (EAT) is closely related to coronary artery stenosis (CAS). However, sexual dimorphism may be present in adipose tissue, and its influence on CAS between men and women is controversial. We assessed the relationship between EAT and CAS by sex and menopausal status in patients with suspected angina. Methods: Six hundred twenty-eight consecutive patients (men/women n = 257/371; mean age = 59.9 ± 10.2 years) who had chest pain for angina and underwent coronary angiography were included. CAS was defined as > 50% luminal narrowing of at least one epicardial coronary artery. EAT thickness was measured by transthoracic echocardiography. Results: Of the 628 patients, 52.1% (n = 134) of men and 35.3% (n = 131) of women had CAS. The mean EAT thickness was not different between men and women and was larger in patients with CAS (8.04 ± 2.39 vs 6.58 ± 1.88 mm, P < 0.001). EAT thickness was independently associated with CAS in both sexes (P < 0.001). The odds ratio (OR) of EAT for the presence of CAS was higher in men (OR = 1.43, 95% confidence interval [CI] 1.21-1.69) than in women (OR = 1.24, 95% CI 1.10-1.40). EAT thickness was larger in postmenopausal women than in premenopausal women (7.59 ± 2.25 vs 5.80 ± 1.57 mm, P < 0.001) and was independently related with CAS (OR = 1.24, 95% CI 1.09-1.41). This was not the case in premenopausal women. Conclusion: In patients with suspected angina, an increase in EAT thickness was independently related to the presence of CAS in both men and women, with it being stronger in men. According to menopausal status in women, EAT thickness is significantly associated with CAS only in postmenopausal women.

Original languageEnglish
Article number52
JournalBiology of Sex Differences
Volume9
Issue number1
DOIs
Publication statusPublished - 2018 Dec 14

Keywords

  • Coronary artery stenosis
  • Epicardial adipose tissue
  • Menopause
  • Women

ASJC Scopus subject areas

  • Gender Studies
  • Endocrinology

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