Cardiac function in children with premature ventricular contractions: the effect of omega-3 polyunsaturated fatty acid supplementation

Autor: Vedide Tavli, Murat Muhtar Yılmazer, Dildar Bahar Genc, Önder Doksöz, Taliha Öner, Rahmi Özdemir, Yilmaz Yozgat, Savaş Demirpençe, Timur Meşe, Barış Güven
Přispěvatelé: YOZGAT, YILMAZ
Rok vydání: 2018
Předmět:
Cardiac function curve
Male
medicine.medical_specialty
Adolescent
Heart Ventricles
Cardiomyopathy
030204 cardiovascular system & hematology
Placebo
Ventricular Function
Left

03 medical and health sciences
0302 clinical medicine
Internal medicine
Heart rate
Fatty Acids
Omega-3

medicine
Humans
cardiovascular diseases
030212 general & internal medicine
Prospective Studies
Child
chemistry.chemical_classification
medicine.diagnostic_test
business.industry
Fatty acid
General Medicine
medicine.disease
Ventricular Premature Complexes
chemistry
Polyunsaturated fatty acid supplementation
Echocardiography
Case-Control Studies
Child
Preschool

Pediatrics
Perinatology and Child Health

cardiovascular system
Cardiology
Electrocardiography
Ambulatory

Female
Cardiology and Cardiovascular Medicine
business
Electrocardiography
Anti-Arrhythmia Agents
Polyunsaturated fatty acid
Zdroj: Cardiology in the young. 28(7)
ISSN: 1467-1107
1047-9511
Popis: BackgroundPremature ventricular contractions are accepted as benign in structurally normal hearts. However, reversible cardiomyopathy can sometimes develop. Omega-3 polyunsaturated fatty acids have anti-arrhythmic properties in animals and humans.AimWe evaluated left ventricular function in children with premature ventricular contractions with normal cardiac anatomy and assessed the impact of omega-3 fatty acid supplementation on left ventricular function in a prospective trial.MethodsA total of 25 patients with premature ventricular contraction, with more than 2% premature ventricular contractions on 24-hour Holter electrocardiography, and 30 healthy patients were included into study. All patients underwent electrocardiography, left ventricular M-mode echocardiography, and myocardial performance index testing. Patients with premature ventricular contraction were given omega-3 fatty acids at a dose of 1 g/day for 3 months, and control echocardiography and 24-hour Holter electrocardiography were performed. Neither placebo nor omega-3 fatty acids were given to the control group.ResultsCompared with the values of the control group, the patients with premature ventricular contraction had significantly lower fractional shortening. The myocardial performance index decreased markedly in the patient groups. The mean heart rate and mean premature ventricular contraction percentage of Group 2 significantly decreased in comparison with their baseline values after the omega-3 supplementation.ConclusionIn conclusion, premature ventricular contractions can lead to systolic cardiac dysfunction in children. Omega-3 supplementation may improve cardiac function in children with premature ventricular contractions. This is the first study conducted in children to investigate the possible role of omega-3 fatty acid supplementation on treatment of premature ventricular contractions.
Databáze: OpenAIRE