Abstract
Nonalcoholic fatty liver disease (NALFD) is the most chronic liver disease worldwide, being an important risk factor for the cardiovascular disease. The coronary heart disease (CHD) is the primary cause of morbidity and mortality in patients with NAFLD. However, evidence also indicates that NAFLD does not affect only blood vessels but also alters myocardial function and structure in both adults and children, calling attention that cardiac alterations may be a risk factor for the worsening prognosis and quality of life of NAFLD patients. In this narrative review we explore the body of data that support the association between NAFLD and the risk of cardiac complications. In addition, we presented the putative pathophysiology mechanism involved in this relationship.