Morphology/Structure
The visceral layer of serous pericardium forms the epicardial layer of the heart. Between the epicardium and the underlying myocardial layer is the epicardial adipose tissue.
Key Features/Anatomical Relations
This layer fat is adherent to the myocardial layer and is particularly abundant within the external sulci of the heart, for example, the interventricular sulci. These sulci also contain branches of the coronary arteries and cardiac veins.
Function
The precise function of the epicardial adipose tissue is unknown. Since it contains the coronary vessels, it may act as an anchoring point and cushion the coronary vascular supply. Research has also shown that it is metabolically active. A certain amount of adipose tissue is healthy; however, an increased amount is linked to cardiometabolic syndromes.
List of Clinical Correlates
- Atherosclerosis
- Cardiovascular disease
- Coronary artery disease
Learn more about this topic from other Elsevier products
Adipose Tissue
Epicardial adipose tissue (EAT) is a metabolically active fat depot within the visceral pericardium that directly encases the coronary arteries.
