What is the significance of epicardial fat volume (EFV) in the diagnosis of acute pericarditis?

Updated: Apr 02, 2019
  • Author: Sean Spangler, MD; Chief Editor: Terrence X O'Brien, MD, MS, FACC  more...
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Answer

Lazaros et al have suggested that CT quantification of epicardial fat volume (EFV) provides prognostic information in patients with acute pericarditis. [38]  In their study comprising 50 patients, the investigators noted that patients who presented with chest pain had a lower EFV compared to those without chest pain, as well as found a strong positive correlation not only between EFV and pericardial effusion size but also EFV and the incidence of inpatient atrial fibrillation. At 18-month follow-up, those who developed constrictive, recurrent, or incessant pericarditis or had poor response to NSAIDs had a lower EFV. [38]


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