Omega-3 fatty acids have anti-inflammatory, antioxidant and membrane-stabilizing properties that indicate they could be useful in suppressing cardiac rhythm disorders. These natural dietary constituents are of particular interest for the treatment of atrial fibrillation, a common and problematic cardiac arrhythmia. However, a new, well-designed clinical study has raised major questions about their value for this indication.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Ehrlich, J. R. & Nattel, S. Novel approaches for pharmacological management of atrial fibrillation. Drugs 69, 757–774 (2009).
Rennison, J. H. & Van Wagoner, D. R. Impact of dietary fatty acids on cardiac arrhythmogenesis. Circ. Arrhythm. Electrophysiol. 2, 460–469 (2009).
Kowey, P. R., Reiffel, J. A., Ellenbogen, K. A., Naccarelli, G. V. & Pratt, C. M. Efficacy and safety of prescription omega-3 fatty acids for the prevention of recurrent symptomatic atrial fibrillation: a randomized controlled trial. JAMA 304, 2363–2372 (2010).
Nattel, S. New ideas about atrial fibrillation 50 years on. Nature 415, 219–226 (2002).
Allessie, M. A. et al. Electropathological substrate of long-standing persistent atrial fibrillation in patients with structural heart disease: longitudinal dissociation. Circ. Arrhythm. Electrophysiol. 3, 606–615 (2010).
Nattel, S., Burstein, B. & Dobrev, D. Atrial remodeling and atrial fibrillation: mechanisms and implications. Circ. Arrhythm. Electrophysiol. 1, 62–73 (2008).
Saravanan, P. et al. Omega-3 fatty acid supplementation does not reduce risk of atrial fibrillation after coronary artery bypass surgery: a randomized, double-blind, placebo-controlled clinical trial. Circ. Arrhythm. Electrophysiol. 3, 46–53 (2010).
Heidarsdottir, R. et al. Does treatment with n-3 polyunsaturated fatty acids prevent atrial fibrillation after open heart surgery? Europace 12, 356–363 (2010).
Bianconi, L. et al. n-3 Polyunsaturated fatty acids for the prevention of arrhythmia recurrence after electrical cardioversion of chronic persistent atrial fibrillation: a randomized, double-blind, multicentre study. Europace 13, 174–181 (2011).
Burstein, B. et al. Changes in connexin expression and the atrial fibrillation substrate in congestive heart failure. Circ. Res. 105, 1213–1222 (2009).
Acknowledgements
The authors are supported by the Canadian Institutes of Health Research (MGP6957 and MOP44365), the Quebec Heart and Stroke Foundation, the Foundation Leducq (European–North American Atrial Fibrillation Research Alliance, ENAFRA, 07/CVD-03), the MITACS Network, and the Atrial Fibrillation Innovation Center, an Ohio Wright Center Initiative.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
S. Nattel is a consultant for Pierre Fabre Laboratories. D. R. Van Wagoner has received research support from GlaxoSmithKline.
Rights and permissions
About this article
Cite this article
Nattel, S., Van Wagoner, D. Therapy with omega-3 fatty acids—is the case closed?. Nat Rev Cardiol 8, 126–128 (2011). https://doi.org/10.1038/nrcardio.2011.11
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrcardio.2011.11