Association Between Epicardial Adipose Tissue and Stroke.

Autor:	Rosa MI; Laboratory of Biomedicine Translational, University of Extremo Sul Catarinense, Criciúma, Brazil., Grande AJ; Department of Medicine, State University of Mato Grosso Do Sul, Mato Grosso, Brazil., Lima LD; Department of Medicine, State University of Mato Grosso Do Sul, Mato Grosso, Brazil., Dondossola ER; Laboratory of Biomedicine Translational, University of Extremo Sul Catarinense, Criciúma, Brazil., Uggioni MLR; Laboratory of Biomedicine Translational, University of Extremo Sul Catarinense, Criciúma, Brazil., Hernandez AV; Hartford Hospital Evidence-Based Practice Center, University of Connecticut, Hartford, CT, United States.; Vicerrectorado de Investigacion, Universidad San Ignacio de Loyola, Lima, Peru., Tse G; Xiamen Cardiovascular Hospital, Hong Kong, China., Liu T; Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease, Department of Cardiology, Tianjin Institute of Cardiology, the Second Hospital of Tianjin Medical University, Tianjin, China., Pontes-Neto OM; Stroke Service, Neurology Division, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil., Biondi-Zoccai G; Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy., Neto MG; Mediterranea Cardiocentro, Naples, Italy.; Physical Therapy Department, Federal University of Bahia-Universidade Federal Da Bahia, Salvador, Brazil.; Programa de Pós-Graduação em Medicina e Saúde-Universidade Federal Da Bahia, Salvador, Brazil.; Physiotherapy Research Group, UFBA, Salvador, Brazil., Durães AR; Physical Therapy Department, Federal University of Bahia-Universidade Federal Da Bahia, Salvador, Brazil., Sá MPBO; The GREAT Group, Salvador, Brazil.; Division of Cardiovascular Surgery of Pronto Socorro Cardiológico de Pernambuco-PROCAPE, Recife, Brazil.; Department of Surgery, University of Pernambuco-Universidade de Pernambuco, Recife, Brazil., Resende ES; Nucleus of Postgraduate and Research in Health Sciences of Faculty of Medical Sciences and Biological Sciences Institute-FCM/ICB, Recife, Brazil.; Department of Clinical Research, Federal University of Uberlândia, Uberlândia, Brazil., Roever L; Department of Clinical Research, Federal University of Uberlândia, Uberlândia, Brazil.
Jazyk:	angličtina
Zdroj:	Frontiers in cardiovascular medicine [Front Cardiovasc Med] 2021 Apr 21; Vol. 8, pp. 658445. Date of Electronic Publication: 2021 Apr 21 (Print Publication: 2021).
DOI:	10.3389/fcvm.2021.658445
Abstrakt:	Epicardial adipose tissue (EAT) is correlated with endothelial dysfunction, metabolic syndrome, increased mortality and recent studies showed a possible association with the increased risk of stroke. We performed a systematic review of studies evaluating the association between EAT and stroke. Eighty studies met the inclusion criteria and were consequently analyzed. The review had Five main findings. First, the increased epicardial fat thickness (EFT) may be associated with the stroke episode. Second, regardless of the imaging method (echocardiography, MRI, and CT) this association remains. Third, the association of metabolic syndrome and atrial fibrillation seems to increase the risk of stroke. Fourth, this systematic review was considered as low risk of bias. Despite being unable to establish a clear association between EAT and stroke, we have organized and assessed all the research papers on this topic, analyzing their limitations, suggesting improvements in future pieces of research and pointing out gaps in the literature. Furthermore, the mechanistic links between increased EAT and stroke incidence remains unclear, thus, further research is warranted. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Rosa, Grande, Lima, Dondossola, Uggioni, Hernandez, Tse, Liu, Pontes-Neto, Biondi-Zoccai, Neto, Durães, Sá, Resende and Roever.)
Databáze:	MEDLINE
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