Tuesday, October 4, 2016

Omega-3 Polyunsaturated Fatty Acids Prevent Atrial Fibrillation Associated With Heart Failure but Not Atrial Tachycardia Remodeling

Title: Omega-3 Polyunsaturated Fatty Acids Prevent Atrial Fibrillation Associated With Heart Failure but Not Atrial Tachycardia Remodeling


Authors: Masao SakabeAkiko Shiroshita-TakeshitaAnge MaguyChloe DumesnilAnil NigamTack-Ki Leung and Stanley Nattel

Summary: Many previous studies examined the effects of a large amount of Omega-3 (or more generally, Poly-Unsaturated) Fatty Acids administered over a short time period on heart health. The data from this study, however, was the result of orally-administered, daily amounts of PUFA’s over the period of a few weeks. Results in previous studies have been conflicting, mostly due to the difference in administration of the PUFAs.

In this study the effects of Omega-3’s were studied in dogs who had been artificially induced to a greater heart rate (in both the atria and ventricle), with appropriate controls. Both electrical remodeling (permanent irregular heartbeat) and structural remodeling (scar tissue) were induced as a result of the tachypacing. In the dogs, omega-3’s didn’t have a large impact on the atrial tachycardia-induced electrical remodeling, but did attenuate the effects of structural remodeling due to the congestive heart failure caused by the irregular heartbeat.

This was hypothesized to be the result of omega-3’s preventing the activation of mitogen-activated protein kinase chains. Among many other things, MAPks promote the inflammatory response and contribute to mitosis. Reducing their activation lessens inflammation and prevents fibrosis in the heart.

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