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Omega-3s Linked to Healthy Heart Beats
2/6/2012
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Omega-3s are clinically proven to reduce the risk of stroke, second heart attacks, and sudden cardiac death.
 
The most common strokes by far are the ischemic (iss-keem-ik) type, which are sometimes call “brain attacks”.
What's the omega-3 connection to A-fib?
Atrial fibrillation is the most common type of heart arrhythmia, affecting up to nine percent of U.S. adults by the time they reach age 80.
 
During A-fib, the heart's two upper chambers (the atria) beat chaotically and irregularly — out of coordination with the two lower chambers (the ventricles) of the heart. Symptoms include heart palpitations, shortness of breath, and weakness.
 
Episodes of A-fib can be transient or become chronic. Although not usually life-threatening, it can require emergency treatment and lead to complications, stroke, and death.
 
The standard, marginally effective, treatments are drugs and medical devices.
 
Some studies have indicated that people who eat more fish than most – or take omega-3 fish oil supplements – have a lower risk of developing atrial fibrillation.
 
Accordingly, it's been widely presumed that omega-3s curb the risk by normalizing heart rhythms, and there's inconclusive but substantial evidence for that idea.
 
Prior signs that omega-3s
might reduce erratic rhythms
Some studies have indicated that people who eat more fish than most – or take omega-3 fish oil supplements – have a lower risk of developing atrial fibrillation.
 
Accordingly, it’s been widely presumed that omega-3s curb the risk by normalizing heart rhythms, and there’s substantial evidence for that idea (see “Omega-3 May Deter Common Heart-Rhythm Disorder” and “Omega-3s Yield Heart-Saving Effects Even in Small Amounts”.
 
 
Like heart attacks, ischemic strokes usually result when inflamed plaque in an artery ruptures and constricts blood flow in the cerebral (brain) arteries.
 
Stroke can be caused by an episode of atrial fibrillation or A-fib ...a rapid, irregular beat in the left atrium (upper chamber) of the heart.
 
And some research suggests that people who eat ample fish – or take omega-3 fish oil – have a lower risk of developing chronic A-fib.
 
We should note that A-fib does not cause sudden cardiac death, which is often caused by ventricular fibrillation ... an irregular beat in the heart's lower (ventricular) chamber.
 
The rapid, weak contractions produced by A-fib slow the flow of blood in the atrium, which may cause it to pool, become sluggish, and form clots that can travel to the brain and cause a stroke (NINDS 2012).
 
Now, a new study from the Harvard School of Public Health indicates that DHA – one of two major omega-3s in fish oil, along with EPA – may help prevent A-fib.
 
Omega-3 DHA is concentrated in heart muscles' cell membranes, and there's some evidence that adding more – from dietary fish or fish oil – helps keep these cells on an even rhythmic keel.
 
Extra-reliable study links higher omega-3 levels to a 30% drop in A-fib risk
An unusually reliable study in more than 3,000 Americans found that who had the highest total omega-3 or omega-3 DHA blood levels were about 30 percent less likely to develop A-fib (Wu JH et al. 2012).
 
Senior author Dariush Mozaffarian, M.D., expressed the important implications of his team's finding: “A 30 percent lower risk of the most common chronic arrhythmia in the United States population is a pretty big effect.” (Grens K 2012)
 
Most health-nutrition research relies on diet questionnaires to estimate people's nutrient intakes and compare those to their health status over time.
 
Of course, these are inherently subject to errors in participants' memories … and in researchers' estimates. As Dr. Mozaffarian noted, “Any given fish species can vary in its omega-3s by 10-fold.” (Grens K 2012)
 
Unlike most health-nutrition research, this new Harvard study measured people's blood levels of omega-3s.
 
The analysis involved 3,326 American men and women aged 65 or older who were free of A-fib or congestive heart failure (which can promote A-fib), and measured their blood levels of omega-3 EPA, DPA, and DHA .
 
After 14 years, the one-quarter of the volunteers who had the highest total omega-3 or the highest omega-3 DHA blood levels were 25-30 percent less likely to develop A-fib, compared to the one-quarter with the lowest omega-3 levels (Wu JH et al. 2012).
 
To be exact, those with the highest total omega-3 (EPA+DPA+DHA) levels were 29 percent less likely to develop A-fib, while those with the highest DHA levels were 23 percent less likely to develop A-fib.
 
In contrast, having higher blood levels of either EPA or DPA wasn't associated with a reduced risk of developing A-fib.
 
A recent study from Finland, whose authors' also measured the omega-3 levels in participants' blood, found a similar reduction in the risk of A-fib among those with the highest levels. (See “Omega-3 May Deter Common Heart-Rhythm Disorder” in our “Prior signs”sidebar.)
 
Results hold implications for prevention and more
Many, if not most, cases of A-fib go undiagnosed, making prevention even more important.
 
This fact prompted a hopeful comment from Dr. Gilbert Ross of the American Council on Science and Health … which usually takes a skeptical stance toward supplements.
 
As Dr. Ross said, “A 30 percent reduced risk of atrial fibrillation, perhaps linked to higher amounts of DHA consumption, is impressive. More Americans should be following the U.S. Department of Agriculture guidelines by consuming fish at least twice weekly.” (ACSH 2012)
 
We've no argument with common sense, evidence-based advice from any quarter!
 
 
Sources
  • American Council on Science and Health (ACSH). Omega-3's for heart rhythm. February 2, 2012. Accessed at http://www.acsh.org/factsfears/newsID.3364/news_detail.asp
  • Grens K. Omega-3s tied to lower risk of heart arrhythmia. Reuters Health, February 1, 2012. Accessed at
  • http://www.reuters.com/article/2012/02/01/us-omega3-heart-idUSTRE8101XG20120201
  • National Institute of Neurological Disorders and Stroke (NINDS). Atrial Fibrillation and Stroke Information. Accessed February 6, 2012 at http://www.ninds.nih.gov/disorders/atrial_fibrillation_and_stroke/atrial_fibrillation_and_stroke.htm
  • Wu JH, Lemaitre RN, King IB, Song X, Sacks FM, Rimm EB, Heckbert SR, Siscovick DS, Mozaffarian D. Association of Plasma Phospholipid Long-Chain Omega-3 Fatty Acids with Incident Atrial Fibrillation in Older Adults: The Cardiovascular Health Study. Circulation. 2012 Jan 26. [Epub ahead of print]
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