Evidence mapPaperPMID 40106059Full record

ReviewCurrent heart failure reports2025

Epicardial Fat in Heart Failure and Preserved Ejection Fraction: Novel Insights and Future Perspectives.

Jacob Whitman, Elie Kozaily, Erin D Michos, Daniel N Silverman, Marat Fudim, Robert J Mentz, Ryan J Tedford, Vishal N Rao

Abstract readReview
In one paragraph

Review in Current heart failure reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jacob WhitmanDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Elie KozailyDivision of Cardiology, Medical University of South Carolina, 30 Courtenay Drive, MSC Code: 592, Charleston, SC, 29425, USA.
Erin D MichosDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Daniel N SilvermanDivision of Cardiology, Medical University of South Carolina, 30 Courtenay Drive, MSC Code: 592, Charleston, SC, 29425, USA.
Marat FudimDivision of Cardiology and Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Robert J MentzDivision of Cardiology and Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Ryan J TedfordDivision of Cardiology, Medical University of South Carolina, 30 Courtenay Drive, MSC Code: 592, Charleston, SC, 29425, USA.
Vishal N RaoDivision of Cardiology, Medical University of South Carolina, 30 Courtenay Drive, MSC Code: 592, Charleston, SC, 29425, USA. raovi@musc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewCardiovascular effects of obesity may be driven, in part, by the distribution of fat. More recently, epicardial adipose tissue (EAT) has gained recognition as an adverse visceral fat impacting cardiac dysfunction in heart failure with preserved ejection fraction (HFpEF). RECENT

findingsEAT can be identified and measured using several non-invasive imaging techniques, including transthoracic echocardiography, computed tomography, and cardiac magnetic resonance. The presence of EAT is associated with increased risk of HFpEF and worse clinical outcomes among patients with established HFpEF, independent of total adiposity. EAT may serve a pivotal role in the pathogenesis of HFpEF by worsening volume distribution, enhancing pericardial restraint and ventricular interaction, worsening right ventricular dysfunction, and diminishing exercise tolerance. No large trials have tested the effects of reducing fat in specific areas of the body on cardiovascular outcomes, but some studies that followed people in communities and trials over time have suggested that drug and non-drug treatments that lower EAT could improve the risk factors for heart problems in patients with HFpEF. Further understanding the role that pathogenic fat depots play in HFpEF incidence and progression may provide future therapeutic targets in treating the obese-HFpEF phenotype.

Indexed as

Adipose TissueHeart FailureObesityPericardiumStroke VolumeEpicardial Adipose TissueHumansEpicardial adipose tissueHeart failureHFpEFObesityRegional adiposity

Identifiers

PMID40106059
PMCPMC11922990

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.