{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T14:25:23Z","timestamp":1788791123797,"version":"build-2803163510"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T00:00:00Z","timestamp":1723420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institutes","doi-asserted-by":"publisher","award":["N01-HV-068161, N01-HV-068162, N01-HV-068163, N01-HV-068164"],"award-info":[{"award-number":["N01-HV-068161, N01-HV-068162, N01-HV-068163, N01-HV-068164"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institutes","doi-asserted-by":"publisher","award":["R21HL167171A, U01HL064829, U01HL649141, U01HL649241, K23HL125941, K23HL127262, T32 HL069751, R01HL090957, R03AG032631, R01HL146158, R01HL124649, R01HL153500, PR150224P1"],"award-info":[{"award-number":["R21HL167171A, U01HL064829, U01HL649141, U01HL649241, K23HL125941, K23HL127262, T32 HL069751, R01HL090957, R03AG032631, R01HL146158, R01HL124649, R01HL153500, PR150224P1"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institutes","doi-asserted-by":"publisher","award":["U54AG065141"],"award-info":[{"award-number":["U54AG065141"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000097","name":"National Center for Research Resources","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000097","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR000124"],"award-info":[{"award-number":["UL1TR000124"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001796","name":"Gustavus and Louis Pfeiffer Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001796","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Women\u2019s Guild of Cedars-Sinai Medical Center"},{"DOI":"10.13039\/100012227","name":"Ladies Hospital Aid Society of Western Pennsylvania","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012227","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Constance Austin Women\u2019s Heart Research Fellowships"},{"DOI":"10.13039\/100013015","name":"Cedars-Sinai Medical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013015","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Barbra Streisand Women\u2019s Cardiovascular Research and Education Program"},{"DOI":"10.13039\/100009821","name":"Society for Women\u2019s Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009821","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Linda Joy Pollin Women\u2019s Heart Health Program"},{"name":"Erika Glazer Women\u2019s Heart Health Project, and the Adelson Family Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Epicardial fat is a metabolically active adipose tissue depot situated between the myocardium and visceral pericardium that covers \u223c80% of the heart surface. While epicardial fat has been associated with the development of atherosclerotic coronary artery disease, less is known about the relationship between epicardial fat and coronary vascular function. Moreover, the relations between excess epicardial fat and cardiac morphology and function remain incompletely understood.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>To address these knowledge gaps, we retrospectively analysed data from 294 individuals from our database of women with suspected ischaemia with no obstructive coronary disease (INOCA) who underwent both invasive coronary function testing and cardiac magnetic resonance imaging. Epicardial fat area, biventricular morphology, and function, as well as left atrial function, were assessed from cine images, per established protocols. The major novel findings were two-fold: first, epicardial fat area was not associated with coronary vascular dysfunction. Secondly, epicardial fat was associated with increased left ventricular concentricity (\u03b2 = 0.15, P = 0.01), increased septal thickness (\u03b2 = 0.17, P = 0.002), and reduced left atrial conduit fraction (\u03b2 = \u22120.15, P = 0.02), even after accounting for age, BMI, and history of hypertension.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Taken together, these data do not support a measurable relationship between epicardial fat and coronary vascular dysfunction but do suggest that epicardial fat may be related to concentric remodelling and diastolic dysfunction in women with suspected INOCA. Prospective studies are needed to elucidate the long-term impact of epicardial fat in this patient population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjci\/jeae203","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T04:48:08Z","timestamp":1723438088000},"page":"1360-1366","source":"Crossref","is-referenced-by-count":5,"title":["Impact of epicardial fat on coronary vascular function, cardiac morphology, and cardiac function in women with suspected INOCA"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1484-5226","authenticated-orcid":false,"given":"Sauyeh K","family":"Zamani","sequence":"first","affiliation":[{"name":"College of Nursing and Health Innovation, University of Texas at Arlington , 701 S. Nedderman Drive Dr., Arlington, TX 76019 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1311-618X","authenticated-orcid":false,"given":"Janet","family":"Wei","sequence":"additional","affiliation":[{"name":"Barbra Streisand Women\u2019s Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center , 8700 Beverly Blvd., Los Angeles, CA 90048 ,","place":["USA"]},{"name":"Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center , Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Hathorn","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Innovation, University of Texas at Arlington , 701 S. Nedderman Drive Dr., Arlington, TX 76019 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Robuck","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Innovation, University of Texas at Arlington , 701 S. Nedderman Drive Dr., Arlington, TX 76019 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan C","family":"Kwan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center , Los Angeles, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl J","family":"Pepine","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida , Gainesville, FL ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Handberg","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Florida , Gainesville, FL ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisha J","family":"Cipher","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Innovation, University of Texas at Arlington , 701 S. Nedderman Drive Dr., Arlington, TX 76019 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2236-6970","authenticated-orcid":false,"given":"Damini","family":"Dey","sequence":"additional","affiliation":[{"name":"Barbra Streisand Women\u2019s Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center , 8700 Beverly Blvd., Los Angeles, CA 90048 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C Noel","family":"Bairey Merz","sequence":"additional","affiliation":[{"name":"Barbra Streisand Women\u2019s Heart Center, Smidt Heart Institute, Cedars-Sinai Medical Center , 8700 Beverly Blvd., Los Angeles, CA 90048 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3232-8639","authenticated-orcid":false,"given":"Michael D","family":"Nelson","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Innovation, University of Texas at Arlington , 701 S. 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