Document Detail

Fish oil in the treatment of dyslipidemia.
MedLine Citation:
PMID:  18316953     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: The recent availability of a concentrated prescription omega-3 fatty acid preparation provides physicians with an additional anti-dyslipidemic agent at a time when limitations of statin therapy in dyslipidemic high-risk patients are recognized. This review examines the evidence supporting the use of omega-3 fatty acid treatment in dyslipidemic states. RECENT FINDINGS: There is now considerable evidence that omega-3 fatty acid treatment at the prescription strength of 4 g/day effectively and safely lowers triglyceride levels and increases low-density lipoprotein size, as well as affecting high-density lipoprotein metabolism. Similar effects have been noted in patients treated with statins, and add-on prescription omega-3 fatty acid therapy significantly increases the proportion of statin-treated dyslipidemic patients reaching their non-high-density lipoprotein cholesterol goals. In addition to past studies showing a cardioprotective effect of low-dose omega-3 fatty acid treatment against sudden death, a recent controlled clinical trial showed that 1.8 g of omega-3 fatty acid in statin-treated patients reduced major coronary events by 19% compared with statin plus placebo treatment. SUMMARY: Omega-3 fatty acid treatment should be considered in patients with severe hypertriglyceridemia as well as in high-risk patients with an atherogenic lipoprotein phenotype.
Ronald B Goldberg; Anup K Sabharwal
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in endocrinology, diabetes, and obesity     Volume:  15     ISSN:  1752-2978     ISO Abbreviation:  -     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-04     Completed Date:  2008-04-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101308636     Medline TA:  Curr Opin Endocrinol Diabetes Obes     Country:  England    
Other Details:
Languages:  eng     Pagination:  167-74     Citation Subset:  IM    
Division of Endocrinology and Metabolism, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
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MeSH Terms
Antilipemic Agents / therapeutic use
Atherosclerosis / prevention & control
Cardiovascular Diseases / complications,  drug therapy
Dyslipidemias / drug therapy*
Fatty Acids, Omega-3 / therapeutic use
Fish Oils / therapeutic use*
Lipoproteins / blood,  drug effects
Lipoproteins, VLDL / blood,  drug effects
Reg. No./Substance:
0/Antilipemic Agents; 0/Fatty Acids, Omega-3; 0/Fish Oils; 0/Lipoproteins; 0/Lipoproteins, VLDL

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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