The degree of hepatic steatosis associates with impaired cardiac and autonomic function

•Patients with elevated liver fat and poor metabolic control have impaired cardiac and autonomic function.•Liver fat, metabolic dysfunction, inflammation and fibrosis staging correlate with cardiac and autonomic dysfunction.•Elevated alcohol intake enhanced the impact of liver fat on diastolic autonomic dysfunction. Background & AimsCardiovascular disease is the principle cause of death in patients with elevated liver fat unrelated to alcohol...