Section of Cardiovascular Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Heart and Vascular Institute of Colorado, SCL Health, Denver, CO, USA.
Curr Atheroscler Rep. 2019 Jan 10;21(1):1. doi: 10.1007/s11883-019-0763-0.
Omega-3 fatty acids (ω-3 FA) are among the most well-recognized health supplements but their cardiovascular benefits have long been controversial owing to inconsistent results from previous cardiovascular outcomes trials (CVOT). In this article, we provide a short review of existing literature followed by recent randomized clinical trial data, with a discussion of the potential clinical implications of these new findings.
Data from the randomized, controlled trial REDUCE-IT, when viewed within the context of other recently published trials ASCEND and VITAL, add to a growing body of evidence on the use of ω-3 FA therapies in the treatment of atherosclerotic cardiovascular disease (ASCVD). Given the different formulations, dosages, and patient populations studied, CVOTs of ω-3 FA have provided valuable insight into the use of these agents in cardioprotection. Current data suggest that higher dosages of pure eicosapentaenoic acid ω-3 FA formulations provide additional benefit in reduction of ASCVD events.
ω-3 脂肪酸(ω-3 FA)是最被广泛认可的健康补品之一,但由于先前心血管结局试验(CVOT)的结果不一致,其对心血管的益处一直存在争议。在本文中,我们首先提供现有文献的简短回顾,然后是最近的随机临床试验数据,并讨论这些新发现的潜在临床意义。
随机对照试验 REDUCE-IT 的数据,结合其他最近发表的 ASCEND 和 VITAL 试验的数据,为 ω-3 FA 疗法在治疗动脉粥样硬化性心血管疾病(ASCVD)中的应用提供了越来越多的证据。鉴于不同的配方、剂量和研究的患者人群,ω-3 FA 的 CVOT 为这些药物在心脏保护中的应用提供了有价值的见解。目前的数据表明,更高剂量的纯二十碳五烯酸 ω-3 FA 配方在减少 ASCVD 事件方面提供了额外的益处。