Evidence mapPaperPMID 38363478Full record

ReviewCardiovascular drugs and therapy2025

A Practical Approach to the Management of Residual Cardiovascular Risk: United Arab Emirates Expert Consensus Panel on the Evidence for Icosapent Ethyl and Omega-3 Fatty Acids.

Hani Sabbour, Deepak L Bhatt, Yaser Elhenawi, Asma Aljaberi, Layal Bennani, Tarek Fiad, Khwaja Hasan, Shahrukh Hashmani, Rabih A Hijazi, Zafar Khan and 1 more

Open access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in Cardiovascular drugs and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. 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

11 authors at 7 institutions in 2 countries.

Hani Sabbour *Warren Alpert School of Medicine, Brown University, RI USA, Mediclinic Hospital, Abu Dhabi, United Arab Emirates. hanisabbour1@icloud.com.ORCID 0000-0001-6960-1056
Deepak L Bhatt *Mount Sinai Fuster Heart Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA. DLBhattMD@post.Harvard.edu.ORCID 0000-0002-1278-6245
Yaser ElhenawiHeart And Vascular Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates.
Asma AljaberiEndocrine Division, Department of Medicine, Tawam Hospital, Abu Dhabi, United Arab Emirates.
Layal BennaniMedical Affairs, Biologix, Dubai, United Arab Emirates.
Tarek FiadCentre Abu Dhabi, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Khwaja HasanPacker Hospital Guthrie, Sayre, Pennsylvania, USA.
Shahrukh HashmaniHeart And Vascular Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates.
Rabih A HijaziDepartment of Endocrinology, Diabetes and Metabolism, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Zafar KhanDepartment of Cardiology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates.
Ronney ShantoufHeart And Vascular Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates.
Abu Dhabi Health Services · AEBrown University · USMount Sinai Hospital · USShaikh Khalifa Medical City · AESheikh Shakhbout Medical City · AESUNY Upstate Medical University · USTawam Hospital · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with hyperlipidemia treated with statins remain at a residual cardiovascular (CV) risk. Omega-3 polyunsaturated fatty acids hold the potential to mitigate the residual CV risk in statin-treated patients, with persistently elevated triglyceride (TG) levels.

methodWe reviewed the current evidence on the use of icosapent ethyl (IPE), an omega-3 fatty acid yielding a pure form of eicosapentaenoic acid.

resultsREDUCE-IT reported a significant 25% reduction in CV events, including the need for coronary revascularization, the risk of fatal/nonfatal myocardial infarction, stroke, hospitalization for unstable angina, and CV death in patients on IPE, unseen with other omega-3 fatty acids treatments. IPE was effective in all patients regardless of baseline CV risk enhancers (TG levels, type-2 diabetes status, weight status, prior revascularization, or renal function). Adverse events (atrial fibrillation/flutter) related to IPE have occurred mostly in patients with prior atrial fibrillation. Yet, the net clinical benefit largely exceeded potential risks. The combination with other omega-3 polyunsaturated fatty acids, in particular DHA, eliminated the effect of EPA alone, as reported in the STRENGTH and OMEMI trials. Adding IPE to statin treatment seems to be cost-effective, especially in the context of secondary prevention of CVD, decreasing CV event frequency and subsequently the use of healthcare resources.

conclusionImportantly, IPE has been endorsed by 20 international medical societies as a statin add-on treatment in patients with dyslipidemia and high CV risk. Robust medical evidence supports IPE as a pillar in the management of dyslipidemia.

Indexed as

Cardiovascular DiseasesEicosapentaenoic AcidFatty Acids, Omega-3Hydroxymethylglutaryl-CoA Reductase InhibitorsHyperlipidemiasBiomarkersHeart Disease Risk FactorsHumansRisk AssessmentTreatment OutcomeUnited Arab EmiratesBiomarkersEicosapentaenoic Acideicosapentaenoic acid ethyl esterFatty Acids, Omega-3Hydroxymethylglutaryl-CoA Reductase InhibitorsDyslipidemiaEicosapentaenoic acidHypertriglyceridemiaIcosapent ethylOmega-3 polyunsaturated fatty acidsResidual cardiovascular risk

Identifiers

PMID38363478
PMCPMC12602668
OpenAlexW4391882617

What Socratic holds

Texttitle and abstract
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.