Omega-3 fatty acids, acute coronary syndrome, and sudden death

被引:8
作者
Harris W.S. [1 ]
von Schacky C. [1 ]
机构
[1] Nutrition and Metabolic Disease Research Center, Sanford School of Medicine of the University of South Dakota, Sioux Falls, SD, 57105
关键词
Heart Rate Variability; Sudden Cardiac Death; Heart Outcome Prevention Evaluation; Heart Protection Study; Nonfatal Event;
D O I
10.1007/s12170-008-0029-9
中图分类号
学科分类号
摘要
Omega-3 fatty acids (FAs) are currently recommended to reduce the risk of cardiovascular diseases. These recommendations are based on randomized trials, prospective cohort studies, and case-control data and are supported by experimental studies in humans, animals, and isolated cells. Raising tissue levels of omega-3 FAs reduces the risk of sudden cardiac death, most likely due to reduced susceptibility to fatal arrhythmias, but the effect of these FAs on the risk of myocardial infarction per se is less clear. Reductions in nonfatal events have not typically been seen in randomized trials, but case-control and prospective cohort studies support such an effect. Future studies should assess tissue levels of omega-3 FAs to more precisely estimate exposure and to more clearly define the relations between omega-3 status and the risk of fatal or nonfatal cardiovascular diseases. © 2008 Current Medicine Group LLC.
引用
收藏
页码:161 / 166
页数:5
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[31]  
Hamaad A., Kaeng Lee W., Lip G.Y., MacFadyen R.J., Oral omega n3-PUFA therapy (Omacor) has no impact on indices of heart rate variability in stable post myocardial infarction patients, Cardiovasc Drugs Ther, 20, pp. 359-364, (2006)
[32]  
Mozaffarian D., Prineas R.J., Stein P.K., Siscovick D.S., Dietary fish and n-3 fatty acid intake and cardiac electrocardiographic parameters in humans, J Am Coll Cardiol, 48, pp. 478-484, (2006)
[33]  
Harris W.S., Gonzales M., Laney N., Et al., Effects of omega-3 fatty acids on heart rate in cardiac transplant recipients, Am J Cardiol, 98, pp. 1393-1395, (2006)
[34]  
Algra A., Tijssen J.G., Roelandt J.R., Et al., QTc prolongation measured by standard 12-lead electrocardiography is an independent risk factor for sudden death due to cardiac arrest, Circulation, 83, pp. 1888-1894, (1991)
[35]  
Mozaffarian D., Gottdiener J.S., Siscovick D.S., Intake of tuna or other broiled or baked fish versus fried fish and cardiac structure, function, and hemodynamics, Am J Cardiol, 97, pp. 216-222, (2006)
[36]  
Dhein S., Michaelis B., Mohr F.W., Antiarrhythmic and electrophysiological effects of long-chain omega-3 polyunsaturated fatty acids, Naunyn Schmiedebergs Arch Pharmacol, 371, pp. 202-211, (2005)
[37]  
Yusuf S., Sleight P., Pogue J., Et al., Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. The Heart Outcomes Prevention Evaluation Study Investigators, N Engl J Med, 342, pp. 145-153, (2000)
[38]  
MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial, Lancet, 360, pp. 7-22, (2002)
[39]  
Hu F.B., Bronner L., Willett W.C., Et al., Fish and omega-3 fatty acid intake and risk of coronary heart disease in women, Jama, 287, pp. 1815-1821, (2002)
[40]  
Ascherio A., Rimm E.B., Stampfer M.J., Et al., Dietary intake of marine n-3 fatty acids, fish intake, and the risk of coronary disease among men, N Engl J Med, 332, pp. 977-982, (1995)