title: [Role of omega-3 polyunsaturated fatty acids after acute coronary syndrome].
abstract: The role of omega-3 polyunsaturated fatty acids (PUFAs) in the secondary prevention of cardiovascular disease has recently been debated. The GISSI-Prevention trial demonstrated that supplementation with 1 g/day of eicosapentaenoic acid plus docosahexaenoic acid (EPA/DHA) was associated with a reduction in all-cause and cardiovascular mortality in patients with myocardial infarction. However, some subsequent meta-analyses, though not without methodological flaws, did not confirm the beneficial effect on cardiovascular mortality. More evidence has recently become available from the analysis of "real-world" data that point to the effectiveness of PUFA supplementation in reducing cardiovascular events in patients with recent acute coronary syndrome. Meantime, in the determination no. 94 by the Italian Medicines Agency (AIFA), reimbursement of PUFAs containing at least 85% of EPA and DHA has been recognized for 12 months in patients with acute coronary syndrome and ejection fraction >40% and for 18 months in those with ejection fraction ≤40%.
authors.affiliation: Divisione di Cardiologia Riabilitativa, Fondazione Salvatore Maugeri, IRCCS, Istituto Scientifico di Veruno, Veruno (NO).
authors.forename: Pier Luigi
authors.initials: PL
authors.lastname: Temporelli
authors.affiliation: CliCon, Health, Economics and Outcomes Research, Ravenna.
authors.forename: Stefano
authors.initials: S
authors.lastname: Buda
authors.affiliation: Division of Cardiology, Duke University Medical Center, Durham, North Carolina, USA.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Greene
mesh_terms: D054058:Acute Coronary Syndrome; D015118:Eicosapentaenoic Acid; D015525:Fatty Acids, Omega-3; D005231:Fatty Acids, Unsaturated; D006801:Humans; D007558:Italy
chemical_list: D015525:Fatty Acids, Omega-3; D005231:Fatty Acids, Unsaturated; D015118:Eicosapentaenoic Acid