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01.03.2015 | original article | Ausgabe 5-6/2015

Wiener klinische Wochenschrift 5-6/2015

The association between thoracic periaortic fat and major adverse cardiovascular events

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 5-6/2015
Autoren:
MD Assist. Prof. Zeynettin Kaya, Assist. Prof. Seref Ulucan, Assoc. Prof. MehmetKayrak, Assist. Prof. Omer Akyurek, Assist. Prof. Huseyin Katlandur, Assist. Prof. Ahmet Keser, Assist. Prof. Duran Efe, Assist. Prof. Huseyin Ozdil, Prof. Mehmet S. Ulgen

Abstract

Aim

The study aimed to examine the association between thoracic periaortic fat tissue volume and the long-term incidence of major adverse cardiovascular events.

Methods

This retrospective cohort study included 433 consecutive patients (372 male and 61 female). Periaortic fat tissue volume was measured via electrocardiogram-gated 64-multidetector computed tomography. The patients were evaluated on an average 3 years of follow-up for major adverse cardiovascular events. The patients were divided into groups according to the presence of major adverse cardiovascular events.

Results

Major adverse cardiovascular events were noted in 44 (10.2 %) patients during follow-up. Periaortic fat tissue volume was significantly higher in the major adverse cardiovascular events (+) group (35.4 ± 26.1 cm3 vs. 24.1 ± 14.9 cm3, P = 0.001). The logistic regression model showed that periaortic fat tissue volume (hazard ratio: 1.03; 95 % CI: 1.01–1.05; P = 0.001), the glomerular filtration rate (hazard ratio: 0.98; 95 % CI: 0.96–0.99; P = 0.03), and male gender (hazard ratio: 4.76; 95 % CI: 1.08–20.90; P = 0.04) were independent predictors of major adverse cardiovascular events.

Conclusion

Thoracic periaortic fat tissue volume may be considered a useful new parameter for predicting major adverse cardiovascular events.

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