Could Epicardial Adipose Tissue Thickness by Echocardiography Be Correlated with Acute Coronary Syndrome Risk Scores

Aim The aim of our study was, echocardiographic epicardial adipose tissue ( EAT ) thickness could show the severity and the prognosis of acute coronary syndromes ( ACS ). Methods and Results Sixty‐five ACS patients (mean age 57.4 ± 12.2 years) who underwent coronary angiography were studied. EAT thickness on the free wall of right ventricle was measured at end‐diastole from the parasternal long‐axis views of 3 cardiac cycles. SYNTAX and Global Registry of Acute Coronary Events (GRACE) scoring considered for severity and the prognosis of ACS . The mean value of the EAT thickness were 5.5 ± 0.5 mm (range 1–12 mm). EAT thickness had a positive correlation with high sensitive troponin T (r = 0.712, P < 0.001) and body mass index (r = 0.522, P < 0.001.) EAT thickness was significantly correlated patients with high SYNTAX score (r = 0.690, P < 0.001), but not correlated with GRACE score (r = 0.224, P = 0.072). Conclusion Epicardial adipose tissue thickness was correlated with angiographic severity of ACS , but not correlated with clinical prognosis risk score.