Omega-3 Fatty Acids for Cardioprotection

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Presentation transcript:

Omega-3 Fatty Acids for Cardioprotection John H. Lee, MD, James H. O'Keefe, MD, Carl J. Lavie, MD, Roberto Marchioli, MD, William S. Harris, PhD  Mayo Clinic Proceedings  Volume 83, Issue 3, Pages 324-332 (March 2008) DOI: 10.4065/83.3.324 Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 1 Time course of clinical events in the Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico (GISSI)-Prevenzione study. Treatment with 850 mg/d of omega-3 acid ethyl esters reduced total mortality (left) by 21% and sudden cardiac death (right) by 45% at 3.5 years. CI = confidence interval; HR = hazard ratio. Data from reference 7. Mayo Clinic Proceedings 2008 83, 324-332DOI: (10.4065/83.3.324) Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 2 Eicosapentaenoic acid (EPA) (1.8 g/d) reduced the incidence of major adverse coronary events in the Japan EPA Lipid Intervention Study (JELIS) by 19%. CI = confidence interval. From The Lancet,8 with permission from Elsevier. Mayo Clinic Proceedings 2008 83, 324-332DOI: (10.4065/83.3.324) Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 3 Effect of prescription omega-3 acid ethyl esters (P-OM3) (4.0 g/d) on lipid and lipoprotein levels in statin-treated patients with serum triglyceride (TG) levels of 200-499 mg/dL (2.26-5.64 mmol/L). Median percent changes are presented for non-high-density lipoprotein cholesterol (non-HDL-C), TGs, calculated very-low-density lipoprotein cholesterol (VLDL-C), and low-density lipoprotein cholesterol (LDL-C) from baseline to the end of treatment.a P<.05. From Clin Ther,24 with permission from Excerpta Medica, Inc. Mayo Clinic Proceedings 2008 83, 324-332DOI: (10.4065/83.3.324) Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 4 Schema of potential dose responses and time courses for altering clinical events of physiologic effects of fish or fish oil intake. BP = blood pressure; DHA = docosahexaenoic acid; EPA = eicosapentaenoic acid. From JAMA,31 Copyright © 2006, American Medical Association. All rights reserved. Mayo Clinic Proceedings 2008 83, 324-332DOI: (10.4065/83.3.324) Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 5 Outcomes in children according to tertiles of weekly seafood consumption by the mothers during pregnancy: the Avon Longitudinal Study of Parents and Children (ALSPAC). IQ = intelligence quotient. From The Lancet,43 with permission from Elsevier. Mayo Clinic Proceedings 2008 83, 324-332DOI: (10.4065/83.3.324) Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 6 Relative risk of sudden cardiac death according to baseline blood levels of omega-3 fatty acids as percentage of total fatty acids. Data from reference 47. Mayo Clinic Proceedings 2008 83, 324-332DOI: (10.4065/83.3.324) Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions