Antiarrhythmogenic effect of omega-3 fatty acid ethyl esters in a patient treated with Omacor after a non-Q-wave myocardial infarction

An 84-year-old man reported several episodes of palpitations over the previous 6 months. He had a history of a prior non-Q-wave myocardial infarction (MI) and had received a dual-chamber pacemaker for control of subsequent sick sinus syndrome. Pacemaker data revealed 8000 premature ventricular beats...

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Bibliographic Details
Main Authors: Andrey Ardashev, Evgeny Zhelyakov, Oleg Kuzovlev
Format: Article
Language:English
Published: Wiley 2014-02-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427613000768
Description
Summary:An 84-year-old man reported several episodes of palpitations over the previous 6 months. He had a history of a prior non-Q-wave myocardial infarction (MI) and had received a dual-chamber pacemaker for control of subsequent sick sinus syndrome. Pacemaker data revealed 8000 premature ventricular beats (PVBs) daily and nonsustained ventricular tachycardia (NSVT). The patient agreed to add omega-3 fatty acid ethyl ester supplementation (1 g/day) to his treatment regimen. Pacemaker analyses 3 months later demonstrated no NSVT and only 215 PVBs daily. In more than 1 year of follow-up, the patient has remained well and has had no further ventricular arrhythmias. We conclude that omega-3 fatty acid ethyl ester supplementation may be beneficial in post-MI patients with pacemakers who develop ventricular arrhythmias.
ISSN:1880-4276