Is there a relationship between epicardial fat tissue thickness and Tp-Te/QT ratio in healthy individuals?
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Department of Cardiology, Elazığ Education and Research Hospital, Elazığ, Turkey
Department of Cardiology, Elazığ Medical Park Hospital (Affiliated with Istinye University), Elazığ, Turkey
Department of Internal Medicine, Fırat University School of Medicine, Elazığ, Turkey
Department of Cardiology, Malatya Education and Research Hospital, Malatya, Turkey
Department of Microbiology, Elazığ Education and Research Hospital, Elazığ, Turkey
Department of Cardiology, Dr. Ersin Arslan Education and Research Hospital, Gaziantep, Turkey
Submission date: 2019-09-07
Final revision date: 2020-02-16
Acceptance date: 2020-04-10
Publication date: 2020-06-05
Arch Med Sci Atheroscler Dis 2020;5(1):127–139
Epicardial fat is a tissue that releases many proinflammatory and atherogenic mediators, with endocrine and paracrine effects on the heart. In this study, the implication of the EFT thickness (EFTt) on transmural dispersion of repolarisation (TDR) was analysed utilizing the T-wave peak to end interval (Tp-Te), the Tp-Te dispersion (Tp-Te (d)), and the Tp-Te/QT ratio.

Material and methods:
One thousand seven hundred and thirteen subjects were enrolled in the research. The subjects were chosen to be healthy individuals, without any cardiovascular/systemic disorders or risk factors for atherosclerosis. Transthoracic echocardiography (TTE) was applied to all subjects, and EFTt was measured in both diastole and systole. The ECG measurements were taken from standard 12-lead surface ECG.

Correlation analysis revealed that the EFTt is highly associated with the Tp-Te interval, Tp-Te/QT ratio, Tp-Te (d), increasing age, body mass index (BMI), body surface area (BSA), left ventricular (LV) mass, LV mass index, plasma glucose during fasting, triglycerides, and low-density lipoprotein cholesterol.

The study results showed that increased EFTt was associated with increased TDR values of Tp-Te, Tp-Te (d), and Tp-Te/QT ratio, even in the absence of other factors that could increase TDR and EFTt. Therefore, it can be stated that increased EFTt may cause an increase the risk for ventricular arrhythmia.