Effects of omega-3 polyunsaturated fatty acids on plasma indices of thrombogenesis and inflammation in patients post-myocardial infarction.

作者: Kaeng W. Lee , Andrew D. Blann , Gregory Y.H. Lip

DOI: 10.1016/J.THROMRES.2005.07.018

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摘要: Abstract Objective To determine the effects of n − 3 PUFAs supplementation on plasma indices coagulation (fibrinogen), fibrin D-Dimer (an index thrombogenesis and turnover), endothelial damage/dysfunction (von Willebrand factor (vWf)), platelet activation (soluble P-selectin (sP-sel)) inflammation (interleukin-6, IL-6) in patients following acute myocardial infarction. Methods Open-labelled randomised controlled trial. Seventy-seven post-myocardial infarction (MI) stabilized standard secondary prevention therapy were either to 3 months' treatment with Omacor 1 g/day (n = 37) or ‘usual care’ control (n = 40). Plasma levels fibrinogen, D-Dimer, vWf, sP-sel, IL-6 viscosity at baseline after months determined. Results At baseline, there no significant differences between groups all research indices, except vWf higher allocated supplementation. After months, changes any supplemented when compared baseline. Patients who received experienced a fall total cholesterol (p = 0.019), total / HDL-cholesterol ratio (p = 0.009) LDL-cholesterol (p = 0.023). However, relative lipids lipoproteins did not differ two groups. Conclusions Three-month g per day post-MI is associated an improvement peripheral potential, function, reactivity inflammation.

参考文章(55)
W Oosthuizen, H H Vorster, J C Jerling, H C Barnard, C M Smuts, N Silvis, A Kruger, C S Venter, Both fish oil and olive oil lowered plasma fibrinogen in women with high baseline fibrinogen levels. Thrombosis and Haemostasis. ,vol. 72, pp. 557- 562 ,(1994) , 10.1055/S-0038-1648914
D W T Nilsen, K Dalaker, A Nordøy, B Østerud, O C Ingebretsen, V Lyngmo, S Almdahl, J Vaage, K Rasmussen, Influence of a concentrated ethylester compound of n-3 fatty acids on lipids, platelets and coagulation in patients undergoing coronary bypass surgery. Thrombosis and Haemostasis. ,vol. 66, pp. 195- 201 ,(1991) , 10.1055/S-0038-1646389
Diego Mezzano, Karin Kosiel, Carlos Martı́nez, Ada Cuevas, Olga Panes, Eduardo Aranda, Pablo Strobel, Druso D Pérez, Jaime Pereira, Jaime Rozowski, Federico Leighton, Cardiovascular risk factors in vegetarians: normalization of hyperhomocysteinemia with vitamin b12 and reduction of platelet aggregation with n-3 fatty acids Thrombosis Research. ,vol. 100, pp. 153- 160 ,(2000) , 10.1016/S0049-3848(00)00313-3
David W Dunstan, Trevor A Mori, Ian B Puddey, Lawrie J Beilin, Valerie Burke, Alan R Morton, Kim G Stanton, None, A randomised, controlled study of the effects of aerobic exercise and dietary fish on coagulation and fibrinolytic factors in type 2 diabetics. Thrombosis and Haemostasis. ,vol. 81, pp. 367- 372 ,(1999) , 10.1055/S-0037-1614479
S L Connor, W E Connor, Are fish oils beneficial in the prevention and treatment of coronary artery disease The American Journal of Clinical Nutrition. ,vol. 66, ,(1997) , 10.1093/AJCN/66.4.1020S
M C Blonk, H J Bilo, J J Nauta, C Popp-Snijders, C Mulder, A J Donker, Dose-response effects of fish-oil supplementation in healthy volunteers. The American Journal of Clinical Nutrition. ,vol. 52, pp. 120- 127 ,(1990) , 10.1093/AJCN/52.1.120
Allison A Brown, Frank B Hu, Dietary modulation of endothelial function: implications for cardiovascular disease The American Journal of Clinical Nutrition. ,vol. 73, pp. 673- 686 ,(2001) , 10.1093/AJCN/73.4.673
Yvonne E. Finnegan, David Howarth, Anne M. Minihane, Samantha Kew, George J. Miller, Philip C. Calder, Christine M. Williams, Plant and Marine Derived (n-3) Polyunsaturated Fatty Acids Do Not Affect Blood Coagulation and Fibrinolytic Factors in Moderately Hyperlipidemic Humans Journal of Nutrition. ,vol. 133, pp. 2210- 2213 ,(2003) , 10.1093/JN/133.7.2210
Jing X Kang, Alexander Leaf, Prevention of fatal cardiac arrhythmias by polyunsaturated fatty acids The American Journal of Clinical Nutrition. ,vol. 71, ,(2000) , 10.1093/AJCN/71.1.202S
Trevor A. Mori, Lawrence J. Beilin, Omega-3 fatty acids and inflammation. Current Atherosclerosis Reports. ,vol. 6, pp. 461- 467 ,(2004) , 10.1007/S11883-004-0087-5