From the epicardial adipose tissue to vulnerable coronary plaques

Figure 2 A multislice computed tomography was performed in a 68-year old male because of atypical chest pain. A: This study revealed a long mixed, calcific and non-calcific plaque in the proximal and mid segments of the left anterior descending artery; B: A large amount of epicardial adipose tissue (EAT) [(159.2 cm³ (green) (figure 3)] was also calculated. Please note that the left anterior descending artery is embedded in EAT (yellow circles). The red line represents the pericardium; C: A coronary angiogram was scheduled and revealed intermediate stenoses in the same arterial segment that was subsequently studied with optical coherence tomography.