Omega-3 fatty acids for cardiovascular event lowering.

Eur J Prev Cardiol

Mount Sinai Fuster Heart Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Published: June 2024

AI Article Synopsis

  • * While there is evidence linking triglycerides to cardiovascular risk, therapies aimed at lowering triglycerides, like omega-3 fatty acids, have produced mixed results in outcomes.
  • * Icosapent ethyl, a specific form of omega-3, has shown promising evidence in reducing cardiovascular risk in patients with high triglyceride levels who are also on statin therapy.

Article Abstract

Low-density lipoprotein cholesterol (LDL-C) is the main target for therapeutics aimed at reducing the risk of atherosclerotic cardiovascular disease (ASCVD) and downstream cardiovascular (CV) events. However, multiple studies have demonstrated that high-risk patient populations harbour residual risk despite effective LDL-C lowering. While data support the causal relationship between triglycerides and ASCVD risk, triglyceride-lowering therapies such as omega-3 fatty acids have shown mixed results in CV outcomes trials. Notably, icosapent ethyl, a purified formulation of eicosapentaenoic acid (EPA), has garnered compelling evidence in lowering residual CV risk in patients with hypertriglyceridaemia and treated with statins. In this review, we summarize studies that have investigated omega-3-fatty acids for CV event lowering and discuss the clinical implementation of these agents based on trial data and guidelines.

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Source
http://dx.doi.org/10.1093/eurjpc/zwae003DOI Listing

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