Evidence map›Paper›PMID 31060562›Full record

Observational studyNutrition journal2019

Omega-3 intake is associated with attenuated inflammatory response and cardiac remodeling after myocardial infarction.

Alessandra M Campos-Staffico, Ana Paula R Costa, Luiz Sérgio F Carvalho, Filipe A Moura, Simone N Santos, Otavio R Coelho-Filho, Wilson Nadruz, José C Quinaglia E Silva, Andrei C Sposito, Brasilia Heart Study

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Nutrition journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02062554 (Brasilia Heart Study of Outcome Markers in ST-elevation Myocardial Infarction), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% 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.

NCT02062554 unknown statusnot on this map

Brasilia Heart Study of Outcome Markers in ST-elevation Myocardial Infarction

Typeobservational_patient_registrySponsorUniversity of Campinas, BrazilRan2006 to 2020Enrolled1,000ConditionsST-Elevation Myocardial Infarction
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

10 authors at 2 institutions in 2 countries.

Alessandra M Campos-StafficoCardiology Department, State University of Campinas (Unicamp), Campinas, SP, Brazil.
Ana Paula R CostaMedical School, University of Brasilia (UnB), Brasília, DF, Brazil.
Luiz Sérgio F CarvalhoCardiology Department, State University of Campinas (Unicamp), Campinas, SP, Brazil.
Filipe A MouraCardiology Department, State University of Campinas (Unicamp), Campinas, SP, Brazil.
Simone N SantosCardiology Department, State University of Campinas (Unicamp), Campinas, SP, Brazil.
Otavio R Coelho-FilhoCardiology Department, State University of Campinas (Unicamp), Campinas, SP, Brazil.
Wilson NadruzCardiology Department, State University of Campinas (Unicamp), Campinas, SP, Brazil.
José C Quinaglia E SilvaHospital de Base do Distrito Federal, Brasília, Brazil.
Andrei C SpositoCardiology Department, State University of Campinas (Unicamp), Campinas, SP, Brazil. andreisposito@gmail.com.ORCID 0000-0001-7127-2052
Brasilia Heart Study
Universidade Estadual de Campinas (UNICAMP) · BRUniversidade de Brasília · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocardial infarction (MI) elicits an intense acute inflammatory response that is essential for cardiac repair. However, an excessive inflammatory response also favors myocardial apoptosis, cardiac remodeling, and cardiovascular mortality. Omega-3 polyunsaturated fatty acids (ω-3) bear anti-inflammatory effects, which may mitigate the inflammatory response during MI. This study investigated whether ω-3 intake is associated with attenuation of the MI-related inflammatory response and cardiac remodeling.

methodsST-elevation MI (STEMI) patients (n = 421) underwent clinical, biochemical, nutritional, 3D echocardiogram, Cardiac Magnetic Resonance imaging (CMRi) at 30 days and 3D echocardiogram imaging at six months after the MI. Blood tests were performed at day one (D1) and day five (D5) of hospitalization. Changes in inflammatory markers (ΔD5-D1) were calculated. A validated food frequency questionnaire estimated the nutritional consumption and ω-3 intake in the last 3 months before admission.

resultsThe intake of ω-3 below the median (< 1.7 g/day) was associated with a short-term increase in hs-C-reactive protein [OR:1.96(1.24-3.10); p = 0.004], Interleukin-2 [OR:2.46(1.20-5.04); p = 0.014], brain-type natriuretic peptide [OR:2.66(1.30-5.44); p = 0.007], left-ventricle end-diastolic volume [OR:5.12(1.11-23.52)]; p = 0.036] and decreases in left-ventricle ejection fraction [OR:2.86(1.47-6.88); p = 0.017] after adjustment for covariates. No differences were observed in the extension of infarcted mass obtained by CMRi.

conclusionThese findings suggest that a reduced daily intake of ω-3 may intensify outcome-determining mechanisms after STEMI, such as acute inflammatory response and late left ventricular remodeling.

trial registrationClinical Trial Registry number and website: NCT02062554 .

Indexed as

BiomarkersBrazilCohort StudiesEchocardiography, Three-DimensionalFatty Acids, Omega-3FemaleFollow-Up StudiesHeart VentriclesHumansInflammationMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesST Elevation Myocardial InfarctionSurveys and QuestionnairesBiomarkersFatty Acids, Omega-3Cardiac remodelingInflammatory responseOmega-3STEMI

Identifiers

PMID31060562
PMCPMC6503367
OpenAlexW2947440508

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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 OpenQuestion graph.