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10.1002/oby.23232

http://scihub22266oqcxt.onion/10.1002/oby.23232
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34028990!8242726!34028990
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suck abstract from ncbi


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pmid34028990      Obesity+(Silver+Spring) 2021 ; 29 (9): 1427-1433
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  • Epicardial fat inflammation response to COVID-19 therapies #MMPMID34028990
  • Iacobellis G; Malavazos AE; Basilico S; Tresoldi S; Rinaldo RF; Dubini C; Capitanio G; Serpi F; Schiaffino S; Oliva OA; Cariati M; Morricone L; Centanni S; Sardanelli F; Carruba M; Corsi Romanelli MM; Secchi F
  • Obesity (Silver Spring) 2021[Sep]; 29 (9): 1427-1433 PMID34028990show ga
  • OBJECTIVE: Adipose tissue plays a role in the novel coronavirus disease 2019 (COVID-19). Epicardial adipose tissue (EAT), a unique visceral fat, presents with a high degree of inflammation in severe COVID-19. Whether and how adipose tissue may respond to the COVID-19 therapies is unknown. METHODS: The difference in computed tomography-measured EAT and subcutaneous (SAT) attenuation, defined as mean attenuation expressed in Hounsfield units (HU), was retrospectively analyzed in 72 patients (mean [SD] age was 59.6 [12.4] years, 50 patients [69%] were men) at the hospital admission for COVID-19 and 99 days (interquartile range = 71-129) after discharge. RESULTS: At the admission, EAT-HU was significantly correlated with blood glucose levels, interleukin 6, troponin T levels, and waist circumference. EAT-HU decreased from -87.21 (16.18) to -100.0 (11) (p < 0.001), whereas SAT-HU did not change (-110.21 [12.1] to -111.11 [27.82]; p = 0.78) after therapy. Changes in EAT-HU (expressed as ?) significantly correlated with dexamethasone therapy (r = -0.46, p = 0.006) and when dexamethasone was combined with tocilizumab (r = -0.24, p = 0.04). CONCLUSIONS: Dexamethasone therapy was associated with significant reduction of EAT inflammation in COVID-19 patients, whereas SAT showed no changes. Anti-inflammatory therapies targeting visceral fat may be helpful in COVID-19.
  • |*COVID-19 Drug Treatment[MESH]
  • |*Intra-Abdominal Fat/diagnostic imaging[MESH]
  • |*Pericardium/diagnostic imaging[MESH]
  • |Aged[MESH]
  • |Antibodies, Monoclonal, Humanized/therapeutic use[MESH]
  • |Dexamethasone/*therapeutic use[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Inflammation[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]


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