Mixed

Young men with newly diagnosed fatty liver exhibit impaired left ventricular energy metabolism (reduced PCr/ATP ratio) and increased mediastinal fat, despite having normal left ventricular morphology and systolic/diastolic function.

If you have been diagnosed with fatty liver, even if you are young, fit, and have normal blood pressure and standard heart function tests, your heart's energy efficiency may already be compromised. This metabolic shift happens before your heart shows signs of failure on standard exams. Addressing the underlying metabolic drivers (like insulin resistance and visceral fat) is critical to prevent long-term cardiac remodeling.