The fact that distribution of body fat can have a major role in the development of metabolic derangement and cardiovascular diseases is supported by a considerable amount of evidence.Therefore it is no surprise that increased deposition of visceral fat is considered a major indicator of metabolic syndrome.New evidence describing adipose tissue as an advanced endocrine unit,capable of producing substances with remarkable physiologic impacts,has led to increased research interest in this field.While many fatty tissues are similar in composition,some of them,notably subcutaneous and visceral adipose tissues,possess special properties.Although intra-abdominal visceral fat has attracted a lot of interest as an adverse health indicator,extra-abdominal visceral fats like mediastinal and epicardial fats have drawn attention of their own[1].In this note our focus is on epicardial fat.