We examined the impact of omega-3 fatty acids, often found in fish oil, on heart attack risks, particularly in patients with high triglyceride levels. The studies indicate that while omega-3s can effectively lower triglycerides and reduce certain cardiovascular disease outcomes, including fatal heart attacks, their overall benefit remains debated. Despite extensive research demonstrating some positive outcomes, many experts still question the magnitude of their effects on heart attack prevention. Improved guidance on omega-3 supplementation is still evolving as new evidence emerges.
Read More
9
DHA aids post-heart attack recovery
The polyunsaturated fatty acids, EPA and DHA, ameliorate myocardial infarction-induced heart failure by inhibiting p300-HAT activity in rats.
We explored the effects of docosahexaenoic acid (DHA) on heart attack recovery in rats. The study aimed to understand how DHA, alongside eicosapentaenoic acid (EPA), can influence heart failure following myocardial infarction (MI).
Using several groups of rats experiencing moderate heart issues, we evaluated how these omega-3 fatty acids impacted heart function. We found that both DHA and EPA effectively curtailed the hypertrophic response in heart cells. This response is a significant factor in heart failure, where heart tissue thickens and hardens.
Notably, both DHA and EPA inhibited the activity of a histone acetyltransferase called p300. This activity is linked to molecular changes that promote heart cell enlargement and fibrosis. In our analysis, we observed that these fatty acids not only preserved cardiac function but also prevented structural changes common after a heart attack.
Overall, we noted that DHA had a comparable protective effect to EPA, significantly improving heart health and reducing fibrosis in the heart tissue. As such, the findings suggest that incorporating DHA could be a heart-friendly choice post-heart attack.
Read More
8
Omega-3 reduces heart attack risk
Optimal Pair Matching Combined with Machine Learning Predicts a Significant Reduction in Myocardial Infarction Risk in African Americans Following Omega-3 Fatty Acid Supplementation.
We explored the impact of omega-3 fatty acids on heart attack risk, focusing on African Americans. In a study analyzing data from the VITAL trial, we matched African American participants with non-Hispanic White individuals to simulate a randomized controlled trial.
Surprisingly, our findings indicated that omega-3 supplementation significantly decreased heart attack risk in African Americans but showed no benefit for non-Hispanic Whites. This highlights the importance of addressing racial differences in how individuals respond to omega-3 fish oil, urging further research in this area.
Read More
Most Useful Reviews
9
Reduces heart attack risk
1 people found this helpful
After three weeks of taking this supplement, my hair has scarcely fallen out. My skin feels much less dry, even in the heating season. Omega-3 contributes to heart health by reducing “bad” cholesterol and lowering the risk of heart attack. It also aids in joint health, cognitive function, and managing stress. Additionally, vitamins A, E, and D enrich the skin and bones.
Read More
9
Improves heart function
I truly enjoy these omega-3 supplements, initially hesitant due to past reactions. After over a month, I've experienced no issues and feel energised. Though I’ve not been diagnosed, I take them for heart health and my joints feel much better. I no longer need a wrist brace thanks to this supplement. The product’s purity is a reassuring feature.
Read More
7.5
Enhances heart health
5 people found this helpful
For my child, we only use this brand’s omega as their fish oil is routinely checked for toxins. The omega is in triglyceride form and adheres to strict international purity standards. The capsules are easy to swallow with no fishy aftertaste. I've noticed immediate improvements in my child's activity levels and fatigue after school, which is reassuring for heart health.
We examined the impact of omega-3 fatty acids, often found in fish oil, on heart attack risks, particularly in patients with high triglyceride levels. The studies indicate that while omega-3s can effectively lower triglycerides and reduce certain cardiovascular disease outcomes, including fatal heart attacks, their overall benefit remains debated. Despite extensive research demonstrating some positive outcomes, many experts still question the magnitude of their effects on heart attack prevention. Improved guidance on omega-3 supplementation is still evolving as new evidence emerges.
Read More
9
Omega-3 benefits for smokers' heart health
Potential effects of icosapent ethyl on cardiovascular outcomes in cigarette smokers: REDUCE-IT smoking.
We explored whether icosapent ethyl (IPE), a refined omega-3 fatty acid, could lower heart attack risk among cigarette smokers. In the REDUCE-IT trial, over 8,000 statin-treated patients were randomly assigned to receive either IPE or a placebo for nearly five years.
Our findings showed that IPE significantly reduced cardiovascular events by 25%, especially for current and former smokers. Participants using IPE experienced heart attack rates similar to non-smokers, suggesting that IPE may help lessen cardiovascular risks associated with smoking.
Read More
9
Omega-3s reduce heart attack risk
A Bayesian Analysis of the VITAL Trial: Effects of Omega-3 Fatty Acid Supplementation on Cardiovascular Events.
We examined the effects of eicosapentaenoic acid (EPA), a type of omega-3 fatty acid, on the risk of heart attacks through a comprehensive analysis of the VITAL trial. This significant study included nearly 26,000 older adults in the U.S. who were monitored over an average of 5.3 years.
The original trial didn't find significant results for major cardiovascular events overall, but our Bayesian analysis suggested a different insight. By incorporating previous research and evidence, we discovered that daily supplementation with EPA appears to notably lower the risk of coronary heart disease events, particularly heart attacks.
However, the same beneficial effects did not extend to strokes or overall cardiovascular death, which means while we do see an encouraging trend for heart attacks, the evidence doesn't support a broad impact on other cardiovascular-related issues. Our findings help reinforce the value of omega-3 fatty acid supplementation as a preventive measure specifically for heart attacks.
Read More
9
Eicosapentaenoic acid aids recovery
Elevated eicosapentaenoic acid to arachidonic acid ratio and rapid coronary blood flow restoration in ST-elevation myocardial infarction.
We explored the role of eicosapentaenoic acid (EPA) in heart attack recovery, particularly its effect on restoring blood flow during ST-elevation myocardial infarction (STEMI). Our focus was on understanding whether higher levels of EPA relative to arachidonic acid could lead to faster recovery and better outcomes for patients experiencing this type of heart attack.
The study revealed that patients with elevated EPA levels indeed showed quicker restoration of coronary blood flow. This is promising, as efficient blood flow restoration is critical in minimizing heart damage during a heart attack. However, it’s essential to note that the effectiveness of EPA may vary based on other treatments the patients are receiving.
These findings suggest a positive link between EPA and heart attack recovery, but further investigation is necessary to determine the best approaches for integrating EPA into treatment protocols. Ultimately, while we observed encouraging results, the interplay between dietary interventions and other medical treatments warrants additional research.
Read More
9
Eicosapentaenoic acid aids cardiac protection
A Cell Autonomous Free fatty acid receptor 4 - ChemR23 Signaling Cascade Protects Cardiac Myocytes from Ischemic Injury.
We explored how eicosapentaenoic acid (EPA) and its metabolites can protect heart cells during a heart attack, specifically focusing on a laboratory model for ischemic injury. Our investigation centered on a specific receptor found in heart cells, known as the Free Fatty Acid Receptor 4 (Ffar4).
In our experiments, cardiac myocytes, or heart cells, were exposed to a controlled environment mimicking conditions of reduced blood flow followed by reoxygenation, essentially simulating a heart attack scenario. Applying an Ffar4 agonist, TUG-891, along with EPA-derived components like 18-hydroxyeicosapentaenoic acid (18-HEPE) and resolvin E1 (RvE1), we observed a significant reduction in harmful reactive oxygen species and heart cell death.
Notably, blocking the ChemR23 receptor with a specific antagonist negated the protective effects we noted from these treatments. This finding highlights that Ffar4 and ChemR23 work together in heart cells to defend against the damage that occurs after ischemic injury.
Overall, our data reinforce the idea that eicosapentaenoic acid has beneficial roles in protecting heart cells from ischemia, meriting further exploration as a potential therapeutic in heart attack management.
After three weeks of taking this supplement, my hair has scarcely fallen out. My skin feels much less dry, even in the heating season. Omega-3 contributes to heart health by reducing “bad” cholesterol and lowering the risk of heart attack. It also aids in joint health, cognitive function, and managing stress. Additionally, vitamins A, E, and D enrich the skin and bones.
Read More
9
Improves heart function
I truly enjoy these omega-3 supplements, initially hesitant due to past reactions. After over a month, I've experienced no issues and feel energised. Though I’ve not been diagnosed, I take them for heart health and my joints feel much better. I no longer need a wrist brace thanks to this supplement. The product’s purity is a reassuring feature.
Read More
7.5
Enhances heart health
5 people found this helpful
For my child, we only use this brand’s omega as their fish oil is routinely checked for toxins. The omega is in triglyceride form and adheres to strict international purity standards. The capsules are easy to swallow with no fishy aftertaste. I've noticed immediate improvements in my child's activity levels and fatigue after school, which is reassuring for heart health.
Read More
9
Supports heart health
1 people found this helpful
Nordic Naturals Omega-3 fish oil is effective for reducing inflammation and is palatable. It has enhanced my heart and blood vessel health, benefitted my joints, and improved my hair's shine. With quality ingredients my GP uses, it's a reliable preventative measure for all ages.
Read More
Frequently Asked Questions
A heart attack, also known as myocardial infarction, occurs when blood flow to a part of the heart is blocked, often by a blood clot. This interruption can damage or destroy part of the heart muscle, leading to serious health complications or death if not treated promptly. Common symptoms include chest pain, shortness of breath, nausea, and lightheadedness. Risk factors include high blood pressure, high cholesterol, smoking, diabetes, and a sedentary lifestyle.
Preventing a heart attack largely revolves around maintaining a heart-healthy lifestyle. Regular exercise, a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, along with managing stress, can significantly lower the risk. Furthermore, understanding your personal risk factors and engaging with healthcare professionals for regular check-ups can be crucial in both prevention and early detection. If you suspect someone is having a heart attack, it's important to call emergency services immediately, as timely treatment is vital for survival and recovery.
Omega-3 fish oil is a nutritional supplement derived from the fatty tissues of fish, particularly fatty fish like salmon, mackerel, and sardines. It is rich in omega-3 fatty acids, which are essential fats that the body cannot produce on its own. The most significant types of omega-3s found in fish oil are eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), both of which are known for their numerous health benefits. These include reducing inflammation, supporting heart health, and promoting brain function.
Incorporating omega-3 fish oil into your diet can be beneficial if you don’t consume enough fish regularly. Many health experts recommend oily fish as a part of a balanced diet due to their high omega-3 content. For those who find it difficult to include fish in their meals, fish oil supplements can offer a convenient alternative, providing the same essential fatty acids in concentrated form. However, it’s essential to choose high-quality supplements that are third-party tested for purity and potency to avoid contaminants such as heavy metals or other toxins that can impact health.
Omega-3 fish oil has been widely studied for its potential benefits in heart health, particularly in reducing the risk of heart disease and heart attacks. Research suggests that the omega-3 fatty acids found in fish oil can help decrease triglyceride levels, lower blood pressure, and reduce arterial plaque buildup—all factors that can contribute to heart problems. Several clinical trials and meta-analyses indicate that regular supplementation with omega-3 fatty acids may lead to a lower risk of heart attack, especially for individuals with existing heart conditions or high-risk factors for heart disease.
However, it's essential to note that while omega-3 fish oil can be beneficial, it should not be viewed as a standalone treatment for heart issues. Those at risk for heart attacks should consider omega-3 supplementation as part of a comprehensive heart health strategy that includes a balanced diet, regular exercise, and appropriate medical care. If you're considering adding omega-3 fish oil to your regimen, consult with a healthcare professional to ensure it's suitable for your individual health needs.
Based on user reviews, the timeline for experiencing results from heart health supplements like omega-3 oils can vary considerably. Several users have reported noticeable benefits within three weeks to a month of consistent use. For instance, one user sharing their experience mentioned that after three weeks, they noticed improvements in their overall health, including reduced hair loss and better skin condition, while emphasizing the heart health benefits attributed to omega-3 Read Review. Another user took the supplements for over a month and felt energized, indicating significant improvements in their heart and joint health during that period Read Review.
In addition, parents report immediate improvements in their children's activity levels, suggesting that even shorter-term use can yield noticeable results Read Review. Overall, while individual experiences may vary, many users seem to observe positive changes within a month of starting the supplement, with some effects felt even sooner. This timeline highlights the potential for omega-3 supplementation to enhance heart health quickly, reinforcing its role as a beneficial addition to a health-oriented regimen.
Research suggests that certain omega-3 fatty acids, particularly eicosapentaenoic acid (EPA) and icosapent ethyl, may be beneficial in reducing heart attack risks. For instance, the REDUCE-IT trial showed that icosapent ethyl significantly lowered the risk of major adverse cardiovascular events (MACE) in patients with high cardiovascular risk, indicating a 28% reduction in heart attacks among those treated compared to a placebo group [4]. Additionally, research highlighted that eicosapentaenoic acid appears to correlate with a reduced risk of heart attacks, particularly in individuals with low ratios of EPA to arachidonic acid [10]. These findings suggest that omega-3 supplementation can play a role in heart attack prevention, especially in at-risk populations.
On the other hand, the overall benefits of omega-3 fatty acids can vary, and evidence is not uniformly conclusive; some studies indicate limited effectiveness in reducing all cardiovascular outcomes. For instance, while omega-3 supplementation may lower the risk of heart attacks, it did not significantly impact strokes or overall cardiovascular mortality [12]. Moreover, potential risks, such as an increased incidence of atrial fibrillation among omega-3 users post-heart attack, underscore the need for careful consideration of treatment options [25]. Therefore, while there is promising data supporting the use of omega-3 fatty acids for heart health, additional research is needed to understand their full implications and effectiveness.
Based on user reviews, individuals have reported a variety of improvements in their symptoms after using omega-3 supplements. For many, these supplements contributed to enhanced heart health, with users noting reduced inflammation and lower cholesterol levels. One user experienced significant benefits to both heart and joint health within a month of consistent use, claiming they no longer needed a wrist brace due to the improvement in joint condition Read Review. Additionally, parents have reported immediate boosts in their children's activity levels and reductions in post-school fatigue, highlighting the potential for omega-3 to enhance vitality Read Review.
Other users have praised the supplement for its multifunctionality, noting not only improvements in heart health but also benefits to skin and hair conditions. For example, one user saw improvements in hair loss and skin dryness within just three weeks of starting the supplement regimen, indicating a broader positive impact beyond cardiovascular health Read Review. While experiences can vary significantly from person to person, the consensus among these reviews suggests that omega-3 supplementation may provide diverse and meaningful health benefits.
Users have reported varying experiences when combining this omega-3 supplement with other supplements for heart health. Many praise the efficacy of omega-3 in enhancing heart health, specifically citing its role in reducing “bad” cholesterol and lowering heart attack risks, which has been beneficial for those using it alongside other dietary supplements Read Review. One reviewer noted that they felt significantly more energized after a month of consistent use, suggesting that the supplement not only supports heart health but also improves overall physical vitality, which could complement other supplements in a holistic health regimen Read Review.
In addition, parents have shared positive outcomes when administering omega-3 supplements to their children, noting immediate improvements in activity levels and reduced fatigue, benefiting their heart health as part of a broader nutrition plan Read Review. Such indicators suggest that when omega-3 is combined with other health-oriented supplements, there may be compounded benefits, particularly for cardiovascular and joint health, making it a favorable option for users looking to enhance their overall health strategy Read Review.
Based on a range of clinical studies, including significant trials such as REDUCE-IT and VITAL, the optimal dosage of omega-3 fish oil, particularly in the form of eicosapentaenoic acid (EPA), for treating heart attack risk seems to be around 1.8 grams of daily supplementation. In large-scale studies, such as those that included nearly 8,000 participants, the use of icosapent ethyl (IPE) showed a marked reduction in heart attack risk, with a 25% decrease in cardiovascular events noted, especially among individuals already on statin therapy [26]. Furthermore, an analysis from the VITAL trial suggested that daily administration of a combined dosage of 1 gram of EPA and docosahexaenoic acid (DHA) also led to significant reductions in total heart attacks and was particularly beneficial for African American participants [13].
9
Reduces heart attack risk
1 people found this helpful
After three weeks of taking this supplement, my hair has scarcely fallen out. My skin feels much less dry, even in the heating season. Omega-3 contributes to heart health by reducing “bad” cholesterol and lowering the risk of heart attack. It also aids in joint health, cognitive function, and managing stress. Additionally, vitamins A, E, and D enrich the skin and bones.
9
Improves heart function
I truly enjoy these omega-3 supplements, initially hesitant due to past reactions. After over a month, I've experienced no issues and feel energised. Though I’ve not been diagnosed, I take them for heart health and my joints feel much better. I no longer need a wrist brace thanks to this supplement. The product’s purity is a reassuring feature.
7.5
Enhances heart health
5 people found this helpful
For my child, we only use this brand’s omega as their fish oil is routinely checked for toxins. The omega is in triglyceride form and adheres to strict international purity standards. The capsules are easy to swallow with no fishy aftertaste. I've noticed immediate improvements in my child's activity levels and fatigue after school, which is reassuring for heart health.
9
Supports heart health
1 people found this helpful
Nordic Naturals Omega-3 fish oil is effective for reducing inflammation and is palatable. It has enhanced my heart and blood vessel health, benefitted my joints, and improved my hair's shine. With quality ingredients my GP uses, it's a reliable preventative measure for all ages.
8
Omega-3 improves heart attack outcomes
Effects of icosapent ethyl according to baseline residual risk in patients with atherosclerotic cardiovascular disease: results from REDUCE-IT.
We observed that icosapent ethyl, a type of omega-3 fish oil, plays a significant role in reducing heart attack risk among patients with atherosclerotic cardiovascular disease (ASCVD). In a study involving almost 5,800 participants, those taking icosapent ethyl experienced lower rates of major adverse cardiovascular events (MACE) compared to those on placebo.
The treatment showed effectiveness across all levels of cardiovascular risk, particularly benefiting those at higher risk. Overall, this suggests that incorporating icosapent ethyl could be an important option for managing heart attack risks.
8
Omega-3 fatty acids and heart attack
Adipose tissue n-3/n-6 fatty acids ratios versus n-3 fatty acids fractions as predictors of myocardial infarction.
We investigated how levels of omega-3 fatty acids in body fat relate to heart attack risk. Analyzing samples from 3,500 participants over 15 years, we found that both omega-3 fractions and their ratios to omega-6 fatty acids were linked to a lower chance of heart attacks. However, the ratios of omega-3 to omega-6 were better predictors of heart attack risks. This suggests that adjusting our diets to enhance these ratios could be beneficial for reducing heart attack risk in the population.
9
Omega-3s' mixed effects on heart health
Update on Omega-3 Polyunsaturated Fatty Acids on Cardiovascular Health.
We examined the impact of omega-3 fatty acids, often found in fish oil, on heart attack risks, particularly in patients with high triglyceride levels. The studies indicate that while omega-3s can effectively lower triglycerides and reduce certain cardiovascular disease outcomes, including fatal heart attacks, their overall benefit remains debated. Despite extensive research demonstrating some positive outcomes, many experts still question the magnitude of their effects on heart attack prevention. Improved guidance on omega-3 supplementation is still evolving as new evidence emerges.
4
EPA may increase AF risk
Omega-3 fatty acid supplements and risk of atrial fibrillation and 'micro-atrial fibrillation': A secondary analysis from the OMEMI trial.
We assessed the effects of eicosapentaenoic acid (EPA), a type of omega-3 fatty acid, in patients who recently suffered a heart attack. In a study involving older adults aged 70 to 82, participants were given either 1.8 grams of EPA/DHA daily or a placebo over two years.
Throughout the trial, we tracked the emergence of new atrial fibrillation (AF) and 'micro-AF' through clinical observations and advanced screening methods. Our findings revealed that among those taking the EPA supplement, 11.9% developed AF or 'micro-AF', compared to just 6.5% in the placebo group. This led us to conclude that the risk of both conditions appeared to rise in those supplementing with omega-3 fatty acids after a heart attack.
Interestingly, we also discovered that increases in serum EPA levels played a significant role, accounting for about 65% of the observed association with AF risk. Thus, while EPA was expected to help heart health, our findings suggest it might actually increase the chances of heart rhythm issues in post-heart attack patients. It's essential for individuals and healthcare providers to consider these results when thinking about treatments following a heart attack.
8
Icosapent ethyl shows heart benefits
Clinical results and mechanism of action of icosapent ethyl.
We explored the role of eicosapentaenoic acid, specifically in the form of icosapent ethyl, in reducing the risk of heart attacks. This examination stemmed from concerns about residual cardiovascular risk tied to high serum triglyceride levels, sparking several clinical trials, including the REDUCE-IT and EVAPORATE studies.
The results from these studies were quite promising, showing a significant reduction in the combined rates of cardiovascular deaths, non-fatal heart attacks, and non-fatal strokes. Additionally, we saw an intriguing reduction in the progression of coronary atherosclerosis, which was measured through advanced imaging techniques.
However, what caught our attention was the unexpected finding that these positive outcomes might not directly correlate with the decrease in triglyceride levels. This led us to consider other possible mechanisms through which icosapent ethyl could be producing these heart protection effects. As we delve deeper into this fascinating molecule, we realize that while it shows potential, the exact pathways by which it operates remain an open question worthy of further investigation.
8
Omega-3 fish oil findings mixed
Marine omega-3 fatty acid supplementation and prevention of cardiovascular disease: update on the randomized trial evidence.
We explored the effects of omega-3 fatty acids on preventing heart attacks through the VITamin D and OmegA-3 TriaL (VITAL), which involved nearly 26,000 adults. Participants received either omega-3 fish oil or an olive oil placebo for over five years.
Although the overall findings didn't show a significant reduction in major cardiovascular events, omega-3 supplementation did lower the risk of heart attacks and recurrent hospitalizations for heart failure. Interestingly, African Americans benefited the most from the treatment, showing substantial improvements in these areas.
More research is needed to identify which individuals might gain the most from omega-3 fish oil treatment.
References
Aggarwal R, Bhatt DL, Steg PG, Miller M, Brinton EA, et al. Cardiovascular Outcomes With Icosapent Ethyl by Baseline Low-Density Lipoprotein Cholesterol: A Secondary Analysis of the REDUCE-IT Randomized Trial. J Am Heart Assoc. 2025;14:e038656. doi:10.1161/JAHA.124.038656
Sun S, Hara A, Johnstone L, Hallmark B, Watkins JC, et al. Optimal Pair Matching Combined with Machine Learning Predicts a Significant Reduction in Myocardial Infarction Risk in African Americans Following Omega-3 Fatty Acid Supplementation. Nutrients. 2024;16. doi:10.3390/nu16172933
Ahmadi M, Askari VR, Shahri B, Mousavi Noghab SM, Jarahi L, et al. Omega-3 fatty acids effectively mitigate high-sensitivity C-reactive protein (hs-CRP) biomarker of inflammation in acute myocardial infarction patients: a randomized, double-blind, placebo-controlled clinical trial. Naunyn Schmiedebergs Arch Pharmacol. 2025;398:881. doi:10.1007/s00210-024-03330-1
Burger PM, Bhatt DL, Dorresteijn JAN, Koudstaal S, Mosterd A, et al. Effects of icosapent ethyl according to baseline residual risk in patients with atherosclerotic cardiovascular disease: results from REDUCE-IT. Eur Heart J Cardiovasc Pharmacother. 2024;10:488. doi:10.1093/ehjcvp/pvae030
Bernhard B, Heydari B, Abdullah S, Francis SA, Lumish H, et al. Effect of six month's treatment with omega-3 acid ethyl esters on long-term outcomes after acute myocardial infarction: The OMEGA-REMODEL randomized clinical trial. Int J Cardiol. 2024;399:131698. doi:10.1016/j.ijcard.2023.131698
Irfan A, Haider SH, Nasir A, Larik MO, Naz T. Assessing the Efficacy of Omega-3 Fatty Acids + Statins vs. Statins Only on Cardiovascular Outcomes: A Systematic Review and Meta-Analysis of 40,991 Patients. Curr Probl Cardiol. 2024;49:102245. doi:10.1016/j.cpcardiol.2023.102245
Ogata S, Manson JE, Kang JH, Buring JE, Lee IM, et al. Marine n-3 Fatty Acids and Prevention of Cardiovascular Disease: A Novel Analysis of the VITAL Trial Using Win Ratio and Hierarchical Composite Outcomes. Nutrients. 2023;15. doi:10.3390/nu15194235
Jin D, Trichia E, Islam N, Lewington S, Lacey B. Associations of circulating fatty acids with incident coronary heart disease: a prospective study of 89,242 individuals in UK Biobank. BMC Cardiovasc Disord. 2023;23:365. doi:10.1186/s12872-023-03394-6
Lyytinen AT, Yesmean M, Manninen S, Lankinen M, Bhalke M, et al. Fatty fish consumption reduces lipophilic index in erythrocyte membranes and serum phospholipids. Nutr Metab Cardiovasc Dis. 2023;33:1453. doi:10.1016/j.numecd.2023.04.011
Chiusolo S, Bork CS, Gentile F, Lundbye-Christensen S, Harris WS, et al. Adipose tissue n-3/n-6 fatty acids ratios versus n-3 fatty acids fractions as predictors of myocardial infarction. Am Heart J. 2023;262:38. doi:10.1016/j.ahj.2023.03.019
Kobara M, Shiraishi T, Noda K, Toba H, Nakata T. Eicosapentaenoic Acid Preserves Mitochondrial Quality and Attenuates Cardiac Remodeling After Myocardial Infarction in Rats. J Cardiovasc Transl Res. 2023;16:816. doi:10.1007/s12265-023-10363-z
Rodriguez D, Lavie CJ, Elagizi A, Milani RV. Update on Omega-3 Polyunsaturated Fatty Acids on Cardiovascular Health. Nutrients. 2022;14. doi:10.3390/nu14235146
Bassuk SS, Manson JE. Marine omega-3 fatty acid supplementation and prevention of cardiovascular disease: update on the randomized trial evidence. Cardiovasc Res. 2023;119:1297. doi:10.1093/cvr/cvac172
Nishizaki Y, Miyauchi K, Iwata H, Inoue T, Hirayama A, et al. Study protocol and baseline characteristics of Randomized trial for Evaluation in Secondary Prevention Efficacy of Combination Therapy-Statin and Eicosapentaenoic Acid: RESPECT-EPA, the combination of a randomized control trial and an observational biomarker study. Am Heart J. 2023;257:1. doi:10.1016/j.ahj.2022.11.008
Miller M, Bhatt DL, Steg PG, Brinton EA, Jacobson TA, et al. Potential effects of icosapent ethyl on cardiovascular outcomes in cigarette smokers: REDUCE-IT smoking. Eur Heart J Cardiovasc Pharmacother. 2023;9:129. doi:10.1093/ehjcvp/pvac045
Yokoyama Y, Kuno T, Morita SX, Slipczuk L, Takagi H, et al. Eicosapentaenoic Acid for Cardiovascular Events Reduction- Systematic Review and Network Meta-Analysis of Randomized Controlled Trials. J Cardiol. 2022;80:416. doi:10.1016/j.jjcc.2022.07.008
Hamaya R, Cook NR, Sesso HD, Buring JE, Manson JE. A Bayesian Analysis of the VITAL Trial: Effects of Omega-3 Fatty Acid Supplementation on Cardiovascular Events. Am J Clin Nutr. 2025. doi:10.1016/j.ajcnut.2025.02.028
Yamada R, Uematsu M, Nakamura T, Kobayashi T, Horikoshi T, et al. Elevated eicosapentaenoic acid to arachidonic acid ratio and rapid coronary blood flow restoration in ST-elevation myocardial infarction. Hellenic J Cardiol. 2025. doi:10.1016/j.hjc.2025.01.003
Puccini SJ, Healy CL, Harsch BA, Ahmed AR, Shearer GC, et al. A Cell Autonomous Free fatty acid receptor 4 - ChemR23 Signaling Cascade Protects Cardiac Myocytes from Ischemic Injury. bioRxiv. 2025. doi:10.1101/2024.11.26.625260
Miyauchi K, Iwata H, Nishizaki Y, Inoue T, Hirayama A, et al. Randomized Trial for Evaluation in Secondary Prevention Efficacy of Combination Therapy-Statin and Eicosapentaenoic Acid (RESPECT-EPA). Circulation. 2024;150:425. doi:10.1161/CIRCULATIONAHA.123.065520
Dinu M, Sofi F, Lotti S, Colombini B, Mattioli AV, et al. Effects of omega-3 fatty acids on coronary revascularization and cardiovascular events: a meta-analysis. Eur J Prev Cardiol. 2024;31:1863. doi:10.1093/eurjpc/zwae184
Szarek M, Bhatt DL, Miller M, Brinton EA, Jacobson TA, et al. Lipoprotein(a) Blood Levels and Cardiovascular Risk Reduction With Icosapent Ethyl. J Am Coll Cardiol. 2024;83:1529. doi:10.1016/j.jacc.2024.02.016
Sabbour H, Bhatt DL, Elhenawi Y, Aljaberi A, Bennani L, et al. A Practical Approach to the Management of Residual Cardiovascular Risk: United Arab Emirates Expert Consensus Panel on the Evidence for Icosapent Ethyl and Omega-3 Fatty Acids. Cardiovasc Drugs Ther. 2024. doi:10.1007/s10557-023-07519-z
Le VT, Knight S, Watrous JD, Najhawan M, Dao K, et al. Higher docosahexaenoic acid levels lower the protective impact of eicosapentaenoic acid on long-term major cardiovascular events. Front Cardiovasc Med. 2023;10:1229130. doi:10.3389/fcvm.2023.1229130
Myhre PL, Berge T, Kalstad AA, Tveit SH, Laake K, et al. Omega-3 fatty acid supplements and risk of atrial fibrillation and 'micro-atrial fibrillation': A secondary analysis from the OMEMI trial. Clin Nutr. 2023;42:1657. doi:10.1016/j.clnu.2023.07.002
Borghi C, Bragagni A. Clinical results and mechanism of action of icosapent ethyl. Eur Heart J Suppl. 2023;25:B37. doi:10.1093/eurheartjsupp/suad088
Rabbat MG, Lakshmanan S, Benjamin MM, Doros G, Kinninger A, et al. Benefit of icosapent ethyl on coronary physiology assessed by computed tomography angiography fractional flow reserve: EVAPORATE-FFRCT. Eur Heart J Cardiovasc Imaging. 2023;24:866. doi:10.1093/ehjci/jead063
Luo X, Liu M, Wang S, Chen Y, Bao X, et al. Combining metabolomics and OCT to reveal plasma metabolic profiling and biomarkers of plaque erosion and plaque rupture in STEMI patients. Int J Cardiol. 2023;390:131223. doi:10.1016/j.ijcard.2023.131223
Bork CS, Lundbye-Christensen S, Venø SK, Lasota AN, Tjønneland A, et al. Intake of marine and plant-derived n-3 fatty acids and development of atherosclerotic cardiovascular disease in the Danish Diet, Cancer and Health cohort. Eur J Nutr. 2023;62:1389. doi:10.1007/s00394-022-03081-w
Park GH, Cho JH, Lee D, Kim Y. Association between Seafood Intake and Cardiovascular Disease in South Korean Adults: A Community-Based Prospective Cohort Study. Nutrients. 2022;14. doi:10.3390/nu14224864
Alfaddagh A, Kapoor K, Dardari ZA, Bhatt DL, Budoff MJ, et al. Omega-3 fatty acids, subclinical atherosclerosis, and cardiovascular events: Implications for primary prevention. Atherosclerosis. 2022;353:11. doi:10.1016/j.atherosclerosis.2022.06.1018
Sunagawa Y, Katayama A, Funamoto M, Shimizu K, Shimizu S, et al. The polyunsaturated fatty acids, EPA and DHA, ameliorate myocardial infarction-induced heart failure by inhibiting p300-HAT activity in rats. J Nutr Biochem. 2022;106:109031. doi:10.1016/j.jnutbio.2022.109031
Halade GV, Kain V, De La Rosa X, Lindsey ML. Metabolic transformation of fat in obesity determines the inflammation resolving capacity of splenocardiac and cardiorenal networks in heart failure. Am J Physiol Heart Circ Physiol. 2022;322:H953. doi:10.1152/ajpheart.00684.2021
Shi Y, Li H, Wu T, Wang Q, Zhu Q, et al. Docosahexaenoic Acid-Enhanced Autophagic Flux Improves Cardiac Dysfunction after Myocardial Infarction by Targeting the AMPK/mTOR Signaling Pathway. Oxid Med Cell Longev. 2022;2022:1509421. doi:10.1155/2022/1509421
Wang CP, Lee CC, Wu DY, Chen SY, Lee TM. Differential effects of EPA and DHA on PPARγ-mediated sympathetic innervation in infarcted rat hearts by GPR120-dependent and -independent mechanisms. J Nutr Biochem. 2022;103:108950. doi:10.1016/j.jnutbio.2022.108950
Myhre PL, Kalstad AA, Tveit SH, Laake K, Schmidt EB, et al. Changes in eicosapentaenoic acid and docosahexaenoic acid and risk of cardiovascular events and atrial fibrillation: A secondary analysis of the OMEMI trial. J Intern Med. 2022;291:637. doi:10.1111/joim.13442
Pertiwi K, Küpers LK, de Goede J, Zock PL, Kromhout D, et al. Dietary and Circulating Long-Chain Omega-3 Polyunsaturated Fatty Acids and Mortality Risk After Myocardial Infarction: A Long-Term Follow-Up of the Alpha Omega Cohort. J Am Heart Assoc. 2021;10:e022617. doi:10.1161/JAHA.121.022617