Echavarría-Pinto Mauro, Hernando Lorenzo, Alfonso Fernando
Mauro Echavarría-Pinto, Fernando Alfonso, Interventional Cardiology, Cardiovascular Institute, Hospital Clinico San Carlos, 28040 Madrid, Spain.
World J Cardiol. 2013 Apr 26;5(4):68-74. doi: 10.4330/wjc.v5.i4.68.
Thin cap fibroatheromas (TCFAs) are thought to be the most common underlying substrate in patients suffering acute coronary thrombotic events. Recently, an interesting association between TCFAs and a particular depot of visceral fat called epicardial adipose tissue (EAT) has been suggested. In this article, we discuss some basic and clinical aspects of this association and then briefly review some of the pathophysiological characteristics attributed to EAT that explain why this particular depot of fat has been attracting the attention of the cardiological scientific community in recent years. Finally we discuss the value of optical coherence tomography in the diagnosis of TCFAs and the role of multislice computed tomography to assess EAT.
薄帽纤维粥样斑块（TCFAs）被认为是急性冠状动脉血栓形成事件患者中最常见的潜在病变基础。最近，有人提出TCFAs与一种称为心外膜脂肪组织（EAT）的特定内脏脂肪储存库之间存在有趣的关联。在本文中，我们讨论了这种关联的一些基础和临床方面，然后简要回顾了归因于EAT的一些病理生理特征，这些特征解释了为什么这种特殊的脂肪储存库近年来一直吸引着心脏病学科学界的关注。最后，我们讨论了光学相干断层扫描在TCFAs诊断中的价值以及多层螺旋计算机断层扫描在评估EAT中的作用。
