Abstract
We acknowledge the comment made by Iacobellis and Malavazos (1) and appreciate the opportunity to address it further while clarifying some points. Anatomically, pericardial adipose tissue (PAT) is largely brown adipose tissue and is divided into two layers: epicardial and paracardial fat layers (2,3). In general, PAT is defined as epicardial plus paracardial adipose tissue (2–4). Likewise, using computed tomography or magnetic resonance imaging to provide a detailed anatomic display of the entire pericardium, the volumetric PATs were defined as any adipose tissue located in the pericardial sac (4). Thus, the …
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