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conferenceseries
.com
Volume 8
Journal of Nutrition & Food Sciences
ISSN: 2155-9600
Nutri-Food Chemistry
&
Euro Obesity 2018
September 13-15, 2018
JOINT EVENT
September 13-15, 2018 | London, UK
14
th
Euro
Obesity and Endocrinology Congress
&
17
th
World Congress on
Nutrition and Food Chemistry
Omega-3 fatty acids andmalignant ventricular arrhythmias in patients with implantable cardioverter
defibrillator
Sabrina Zeghichi Hamri
University of Bejaia, Algeria
Background & Aim:
Studies that evaluated the effects of omega-3 polyunsaturated fatty acids (n-3) on cardiovascular diseases
have yielded conflicting results. We aimed at examining the association between plant/marine n-3 and malignant ventricular
arrhythmias (MVA) among patients benefiting from the best preventive strategy including Implantable Cardioverter
Defibrillator(ICD).
Methods & Results:
Consecutive patients in whom an ICD was implanted for primary or secondary prevention of MVA were
eligible. All patients had blood fatty acid analysis. The method of Kaplan-Meier was used to estimate the survival curves in each
quartile of the main plant (ALA) and marine (EPA and DHA) n-3. Among the 238 enrolled patients, 100 had a relevant end
point recorded by the ICD or died from a cardiac cause during a mean follow up of 30±12 months. No significant difference
in MVA was observed between quartiles of ALA (log-rank test p=0.88), EPA (log-rank test p=0.58) and DHA (log-rank test
p=0.97). In a multivariate Cox proportional hazard model including age, sex, ischemic heart disease, diabetes, smoking,
hypertension and high cholesterol as covariates, we found no association between MVA and n-3: hazard ratio was 1.12 (95%
CI 0.62-2.02) for ALA and 1.44 (95% CI 0.81-2.58) for the sum of main marine n-3.
Conclusions:
Plant and marine n-3 do not seem to either increase or decrease the risk of MVA in patients who are not n-3
deficient and benefit from the most effective preventive treatment. Further studies are required to test whether n-3 deficient
patients would still benefit from n-3 supplements. Finally, these data raise major questions regarding interactions between
dietary n-3 and certain medications.
zeghichi@yahoo.frJ Nutr Food Sci 2018, Volume 8
DOI: 10.4172/2155-9600-C7-072