Spondyloarthritis & psoriatic arthritis

Epicardial fat as a cardiovascular risk factor in inflammatory arthritis

Semin Arthritis RheumPublished Cross-sectional study

Authors' conclusion

Higher EFV in SpA and its association with inflammatory markers and coronary atherosclerosis highlight the increased CV risk in this population.

Study context

Population
Patients with inflammatory arthritis (rheumatoid arthritis (RA) and spondyloarthritis (SpA), including AS and PsA)
Exposure
SpA vs RA
  • RAn = 114reference
Outcome
Epicardial fat volume (EFV) assessed from CACS CT scans
Methodological detailsregression models adjusted for age, sex and Framingham risk score (FRS)
  • Regression models adjusted for age, sex and FRS

Main finding

As reported in the abstract

EFV

β

18.3

95% CI 5.5–31.1P = 0.004

adjusted for age and sex

β

17.4

95% CI 5.8–28.9

adjusted for FRS

Observational data: associations, not effects.

Further findings

Association of high sensitivity CRP with epicardial fat volume (EFV)

β adjusted for FRS
0.97 (95% CI 0.39-1.56)

Association of arthritis clinical disease activity indices with EFV

No similar association was found between individual arthritis-clinical disease activity indices and EFV

Association of coronary artery calcium scoring (CACS) with EFV (only atherosclerotic marker associated)

β adjusted for FRS
0.02 (95% CI 0.01-0.05)

Original publication

Epicardial fat as a cardiovascular risk factor in inflammatory arthritis. Semin Arthritis Rheum. Published 19 April 2026. doi:10.1016/j.semarthrit.2026.152985

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