<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332025000200104</article-id>
<article-id pub-id-type="doi">10.24875/rccar.23000103</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Relevancia de la grasa epicárdica en la enfermedad cardíaca]]></article-title>
<article-title xml:lang="en"><![CDATA[Relevance of epicardial adipose tissue in heart disease]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacio]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ocampo]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velásquez]]></surname>
<given-names><![CDATA[Juanita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duque-Ramírez]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,IPS React, Cardiovida Departamento de Medicina de la Actividad Física y el Deporte ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,CES, EIA, Cardiovida Departamento de Medicina Interna y Epidemiología ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,IPS Medicina Fetal Departamento de Densitometría ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Clínica CES Unidad de Cuidados Especiales ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Cardiovida y PUL.SOS Universidad CES ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>2</numero>
<fpage>104</fpage>
<lpage>109</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332025000200104&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332025000200104&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332025000200104&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la obesidad es uno de los principales problemas de salud pública en el mundo. Se considera detonante de múltiples enfermedades cardionefrometabólicas como el infarto agudo de miocardio, la hipertensión arterial, la diabetes mellitus tipo 2 y el accidente isquémico cerebral. Este aumento de grasa corporal infiltra el corazón y hace que aumente la grasa epicárdica, que termina por generar más inflamación y alteraciones cardíacas.  Objetivo: estudiar el papel de la grasa epicárdica en el desarrollo de enfermedades cardíacas y encontrar el mejor método de diagnóstico para detectarla.  Materiales y método: se hizo una revisión de tema, resultado de la revisión crítica de la literatura disponible sobre la grasa epicárdica, sus funciones y principales métodos diagnósticos.  Conclusiones: se encontró una clara relación entre la grasa epicárdica y los procesos inflamatorios que generan alteración en la función cardíaca y que conducen al desarrollo de fibrilación auricular y enfermedad coronaria ateromatosa. En la actualidad hay varias formas de medirla; la resonancia nuclear magnética, la tomografía y la ecocardiografía; esta última es el método más accesible por ser adecuado y de bajo costo. Pese a que los estándares de oro serían la tomografía y la resonancia, su alto costo las hace poco asequibles.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: obesity is one of the main public health problems in the world. It is considered a trigger for multiple cardiometabolic diseases, such as acute myocardial infarction, high blood pressure, type 2 diabetes mellitus and ischemic stroke. This increase in fat infiltrates the heart, increasing epicardial adipose tissue (EAT), which ends up generating more inflammation and cardiac alterations.  Objective: to study the role of epicardial adipose tissue (EAT), in the development of heart diseases and the best method for diagnosing this adipose tissue.  Materials and method: we made a topic review, the result of a critical review of the available literature on epicardial adipose tissue (EAT), its functions and main diagnostic methods.  Conclusions: a clear relationship was found between epicardial fat tissue (EAT) and inflammatory processes that generate alterations in cardiac function, developing pathologies such as atrial fibrillation and atheromatous coronary disease. At the moment we have several ways to measure it, magnetic resonance imaging (MRI), tomography (TC), and echocardiography. The most accessible method is echocardiography as an appropriate and low-cost method, although the gold standards would be tomography and resonance, but due to their high cost they are not affordable.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tejido adiposo epicárdico]]></kwd>
<kwd lng="es"><![CDATA[Fibrilación atrial]]></kwd>
<kwd lng="es"><![CDATA[Densitometría de composición corporal]]></kwd>
<kwd lng="es"><![CDATA[Ecocardiografía]]></kwd>
<kwd lng="en"><![CDATA[Adipose tissue]]></kwd>
<kwd lng="en"><![CDATA[Atrial fibrillation]]></kwd>
<kwd lng="en"><![CDATA[Body composition densitometry]]></kwd>
<kwd lng="en"><![CDATA[Echocardiography]]></kwd>
</kwd-group>
</article-meta>
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