Evidence map›Paper›PMID 31164089›Full record

SynthesisBMC cardiovascular disorders2019

Omega 3 fatty acid supplementation after myocardial infarction: a systematic review and meta-analysis.

Federico Popoff, Giselle Balaciano, Ariel Bardach, Daniel Comandé, Vilma Irazola, Hugo Norberto Catalano, Ariel Izcovich

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Current Evidence and Future Directions of Omega-3 Supplementation and Cardiovascular Disease Risk.The International journal of angiology : official publication of the International College of Angiology, Inc · 2024
    Review
  5. Article
  6. Observational
  7. Nutraceuticals in Chronic Coronary Syndromes: Preclinical Data and Translational Experiences.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021
    Review
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Federico PopoffMinistry of health, Buenos Aires, Argentina. federicopopoff@gmail.com.
Giselle BalacianoNational Ministry of Health of Argentina, Hospital Alemán, Buenos Aires, Argentina. giselle.balaciano@gmail.com.ORCID 0000-0001-8467-2485
Ariel BardachInstitute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Daniel ComandéInstitute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Vilma IrazolaInstitute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Hugo Norberto CatalanoMinistry of health, Buenos Aires, Argentina.
Ariel IzcovichMinistry of health, Buenos Aires, Argentina.
Instituto de Efectividad Clínica y Sanitaria · ARHospital Alemán · ARMinisterio de Ciencia, Tecnología e Innovación · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this review is to examine the effect of Omega-3 Fatty acids on mortality, morbidity, and adverse events in patients with acute myocardial infarction (AMI).

methodsData Sources: MEDLINE, EMBASE, and the Cochrane Library through May 2018. STUDY SELECTION: Randomized Controlled trials (RCT). Certainty of evidence was assessed with the GRADE system.

interventionsomega 3 fatty acids against placebo or no treatment. Primary and secondary outcomes: All-cause death, cardiovascular death, new AMI, stroke, need for therapeutic angioplasty or By-pass, new diagnosis of cancer and incidence of adverse events.

resultsFor the efficacy endpoints we included 10 RCT (24,414 patients). Omega 3 fatty acids probably make little or no difference to all-cause mortality (4 studies 9141 patients RR 1.06 - CI95% 0.90 to 1.27, moderate certainty), cardiovascular mortality (3 studies 4304 patients RR 0.93 - CI95% 0.63 to 1.37, moderate certainty), new AMI (RR 1.24 CI95% 0.71 to 2.14 - moderate certainty), any cardiovascular event (RR 0.95 95%CI 0.86 to 1.05; low certainty due to risk of bias and imprecision), and stroke (RR 1.2 95%CCI 0,66-2,19 - moderate certainty). Regarding adverse events, we are uncertain if Omega 3 fatty acids improve/reduce non severe adverse events (RR 1.39 95% CI 0.36 to 5.34; very low certainty). There is probably little or no difference in the outcome suspension due to adverse events (RR 1.19 CI 95% 0.97 to 1.47; moderate certainty).

conclusionsFor adult patients with AMI, omega 3 fatty-acids probably yield no benefit to patient important outcomes.

Indexed as

Dietary SupplementsSecondary PreventionCause of DeathFatty Acids, Omega-3HumansMyocardial InfarctionRecurrenceRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeFatty Acids, Omega-3Myocardial infarctionOmega 3 fatty acidPolyunsaturated fatty acidsSecondary preventionSystematic review

Identifiers

PMID31164089
PMCPMC6549284
OpenAlexW2948075275

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.