Fish oil supplements won't prevent irregular heart beat

December 21, 2012 by Steven Reinberg, Healthday Reporter
Fish oil supplements won't prevent irregular heart beat: study
For patients with atrial fibrillation, omega-3 fatty acids seem ineffective.

(HealthDay)—Some research has suggested that the omega-3 fatty acids in fish oil can help prevent an irregular heart beat called atrial fibrillation. However, a new study finds these supplements have little effect on the condition once it develops.

is a common usually kept under control with medications and sometimes with surgical procedures. The primary danger from the condition is the risk of a stroke from a clot caused by the irregular heart beat, the researchers explained.

"There is no role of omega-3 for the prevention of atrial fibrillation in patients with previous atrial fibrillation," said lead researcher Dr. Alejandro Macchia, from the GESICA Foundation in Buenos Aires, Argentina. "However, these results did not rule out the possibility that these agents may have a role in the primary prevention of atrial fibrillation."

The report was published Dec. 19 in the Journal of the American College of Cardiology.

One expert agreed that the finding seems to further discount the use of for atrial fibrillation.

"Atrial fibrillation in the most common in adults, and impacts millions of men and women in the United States," said Dr. Gregg Fonarow, a professor of cardiology at the University of California, Los Angeles. "Atrial fibrillation results in substantial morbidity, mortality and ."

Many anti-arrhythmic medications have limited efficacy and undesirable side effects, Fonarow said. "It has been hoped that omega-3 fatty acids [fish oil] supplementation would have anti-arrhythmic effects and some have suggested this may be case," he added.

"However, on the basis of this as well as other recent clinical trials, omega-3 fatty acid supplementation, while safe, does not appear to provide any clinically relevant benefits as an anti-arrhythmic agent," Fonarow said.

For the study, Macchia's team randomly assigned more than 500 patients with atrial fibrillation to receive fish oil supplements or placebo.

Over a year, the researchers looked for recurrent episodes of atrial fibrillation.

During that time, there was no significant difference in the number of episodes of atrial fibrillation between the groups, the researchers found.

During the year, 24 percent of those taking the supplements had episodes of atrial fibrillation, while only 19 percent of those receiving the placebo had such episodes.

There were also no differences between the groups in deaths, stroke, heart attacks or heart failure, the researchers noted.

"If you are taking omega-3 fatty acids for any other reason such as secondary prevention after a heart attack, heart failure or high levels of triglycerides, you should continue to take these compounds," Macchia noted. "However, there is no need to begin taking if the objective is to prevent recurrent atrial fibrillation."

Another expert, Dr. Neil Sanghvi, a clinical electrophysiologist at Lenox Hill Hospital, in New York City, said that "it is not understood how omega-3 may prevent atrial fibrillation. Quite frankly, I am not sure the effect is powerful enough to prevent atrial fibrillation."

If patients are taking these supplements, they should continue to take them since there are no apparent adverse effects, he added.

"But they shouldn't take it with the expectation that it's going to reduce atrial fibrillation," Sanghvi noted.

Explore further: Atrial fibrillation associated with increased risk of death and cardiovascular events in women

More information: For more on atrial fibrillation, visit the American Heart Association.

Related Stories

Rheumatoid arthritis linked to irregular heart rhythm

March 8, 2012

People with rheumatoid arthritis are at a greater risk of irregular heart rhythm (known as atrial fibrillation) and stroke compared with the general population, finds a study published in the British Medical Journal today.

Thyroid problems linked to irregular heart rhythm

November 28, 2012

People with an overactive thyroid gland (hyperthyroidism) carry a greater risk of developing irregular heart rhythm (known as atrial fibrillation) than those with normal thyroid function, finds a study published on BMJ today.

Recommended for you

Heart attack treatment hypothesis 'busted'

July 6, 2015

Researchers have long had reason to hope that blocking the flow of calcium into the mitochondria of heart and brain cells could be one way to prevent damage caused by heart attacks and strokes. But in a study of mice engineered ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.