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HOT TOPICS IN CARDIOLOGY: Issue 11, 2008
Fish, long-chain omega-3 polyunsaturated fatty acids, and cardiovascular disease
Fish, long-chain omega-3 polyunsaturated fatty acids, and cardiovascular disease
Claudio Galli, Patrizia T. Risé, Cesare R. Sirtori
Correspondence to:
Claudio Galli - MD
Professor of Pharmacology
Department of Pharmacological Sciences
University of Milan
Milan, Italy
E-mail: claudio.galli@unimi.it
DOI:

Summary


  • CARDIOVASCULAR DISEASE AND MORTALITY IN CONTEMPORARY SOCIETIES
  • The impact of environmental factors: role of dietary fats
  • CHANGES IN THE HUMAN DIET OVER TIME: EVOLUTIONARY, HISTORICAL, AND GEOGRAPHICAL CONSIDERATIONS
  • Defining high risk
  • ROLE AND UNIQUENESS OF SHORE-BASED FOODS IN THE DIETS OF HUMANS VERSUS THAT OF OTHER ANTHROPOIDS AND MAMMALS
  • OMEGA-3 FATTY ACIDS
  • Chemistry and metabolism
  • Appearance of omega-3 fatty acids in biology
  • DISCOVERY OF OMEGA-3 FATTY ACIDS AND OF THE PROTECTIVE ROLE OF FISH CONSUMPTION
  • Sources
  • Fish safety
  • Other sources: omega-3 fatty acid enriched foods
  • STUDIES ON FISH OR OMEGA-3 FATTY ACID INTAKES AND CARDIOVASCULAR DISEASE
  • The Studies
  • Studies based on fish intakes
  • Studies based on the administration of omega-3 fatty acids
  • Discussion of results
  • Adverse effects
  • MAJOR MECHANISMS OF THE EFFECTS OF OMEGA-3 FATTY ACIDS ON THE CARDIOVASCULAR SYSTEM
  • Functional effects
  • Platelet aggregation (see Figure 3A)
  • Antiarrhythmic activity
  • Inflammation and endothelial function
  • Major effects on plasma lipids: triglyceride lowering (see Figure 3C)
  • Differential effects of EPA and DHA
  • MAJOR ISSUES AND REQUESTS FOR OMEGA-3 FATTY ACID STUDIES
  • CONCLUSIONS AND RECOMMENDATIONS
  • REFERENCES

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