An often-silent liver condition that threatens the heart

Many Americans may have a potentially serious condition marked by a buildup of fat inside the liver. Known as metabolic dysfunction–associated steatotic liver disease (MASLD), it’s closely linked to a higher risk of cardiovascular disease. The root of the problem is usually excess weight—especially the accumulation of belly fat known as abdominal obesity. Weight gain can trigger a host of metabolic problems that cause blood sugar, blood pressure, and cholesterol levels to rise. All of these factors are closely linked to a higher risk of diabetes and cardiovascular disease. Heart disease is one of the common causes of death among people with MASLD.