Selenium and Inflammation in Coronary Artery Disease

Does selenium status affect biomarkers of inflammation in patients with coronary artery disease?
Coronary artery disease
In patients with coronary artery disease, low selenium intakes and status are associated in elevated levels of inflammation in the blood circulation and in heart adipose tissue.

In a 2026 Norwegian study, researchers examined and compared epicardial adipose tissue biopsies from two groups of heart disease patients [Opstad 2026]:

  • Coronary artery disease patients undergoing coronary artery bypass grafting (n = 52)
  • Heart valve disease patients receiving valve replacement (n = 22)
  • The heart valve disease patients had lower vulnerability to elevated inflammation levels. As such, they served as a control group to the group of coronary artery disease patients.

The research team obtained the epicardial adipose tissue biopsies during open-chest heart surgery. They measured selenium concentrations in the blood circulation and in the epicardial adipose tissue of the heart disease patients.

Epicardium and epicardial adipose tissue

Note: What is the epicardium?

The Cleveland Clinic explains that the epicardium is the outer layer of the heart muscle and the inner layer of the pericardium that surrounds the heart. A layer of fat (= adipose tissue) separates the epicardium from the heart muscle. The epicardium protects the heart and helps the heart function [Cleveland Clinic staff 2025]. read more