eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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2/2019
vol. 14
 
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abstract:
Original paper

Emerging measurements of atherosclerosis: extra-media thickness, epicardial adipose tissue, and periarterial adipose tissue intima media adventitia index in morbidly obese patients undergoing bariatric surgery

Justyna Domienik-Karłowicz
,
Wojciech Lisik
,
Maciej Kosieradzki
,
Katarzyna Kurnicka
,
Maciej Haberka
,
Paweł Ziemiański
,
Maksymilian Bielecki
,
Anna Lipińska
,
Piotr Bienias
,
Piotr Pruszczyk

Videosurgery Miniinv 2019; 14 (2): 249–254
Online publish date: 2019/05/05
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Introduction
Increased values of emerging fat indices are correlated with increased cardiovascular risk

Aim
To examine the novel non-invasive predictors of coronary disease, namely the carotid extra-media thickness (EMT), PATIMA, and epicardial adipose tissue (EAT), in a group of patients with morbid obesity.

Material and methods
We examined a group of 40 morbidly obese (OB) patients and a control group (CG). All patients were subjected to anthropometric measurements, as well as laboratory and ultrasound examinations.

Results
EATmean and EMTmean differed significantly between groups (OB vs. CG): 5.09 vs. 3.50 and 808.50 vs. 737.00, p < 0.0001, respectively.

Conclusions
Strong correlations were found between novel non-invasive predictors of coronary disease, namely the carotid extra-media thickness, PATIMA, and epicardial adipose tissue. The above-mentioned fat indices were not found to correlate significantly with BMI or other body weight-related parameters used to assess the adipose tissue content. Further studies are required.

keywords:

atherosclerosis, bariatric surgery, morbid obesity, extra-media thickness, epicardial adipose tissue

  
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