Myocardial steatosis across the spectrum of human health and disease

Exp Physiol. 2024 Feb;109(2):202-213. doi: 10.1113/EP091566. Epub 2023 Dec 8.

Abstract

Preclinical data strongly suggest that myocardial steatosis leads to adverse cardiac remodelling and left ventricular dysfunction. Using 1 H cardiac magnetic resonance spectroscopy, similar observations have been made across the spectrum of health and disease. The purpose of this brief review is to summarize these recent observations. We provide a brief overview of the determinants of myocardial triglyceride accumulation, summarize the current evidence that myocardial steatosis contributes to cardiac dysfunction, and identify opportunities for further research.

Keywords: magnetic resonance; myocardial triglyceride content; steatosis.

Publication types

  • Review

MeSH terms

  • Heart
  • Heart Diseases*
  • Humans
  • Magnetic Resonance Spectroscopy
  • Myocardium / pathology
  • Triglycerides
  • Ventricular Dysfunction, Left* / pathology
  • Ventricular Function, Left

Substances

  • Triglycerides