The role of epicardial fat as a marker of increased cardiovascular risk in obese patients.
Epicardial fat could represent a new marker of cardiovascular risk even more accurate than visceral fat to which is nevetheless related. Particularly, our study demonstrate that it is independently associated with the presence of diastolic dysfunction. The measurement of epicardial fat by echocardiography, non-invasive, easily repeatable and low cost, could allow a more precise stratification of cardiovascular risk in obese patients. This could identify a subgroup of patients at high risk to treat with tailored prevention program and targeted therapeutic approach.