PMID- 29151487 OWN - NLM STAT- MEDLINE DCOM- 20171218 LR - 20171218 IS - 1349-3299 (Electronic) IS - 1349-2365 (Linking) VI - 58 IP - 6 DP - 2017 Dec 12 TI - Relationship between n-3 Polyunsaturated Fatty Acids and Extent of Vessel Disease in Patients with ST Elevation Myocardial Infarction. PG - 868-873 LID - 10.1536/ihj.16-565 [doi] AB - A relationship between serum polyunsaturated fatty acids (PUFAs) and cardiovascular disease has been reported; however, the existence of a relationship between serum PUFAs and extent of vessel disease (VD) in patients with ST elevation myocardial infarction (STEMI) remains unclear.Between July 2011 and June 2015, 866 consecutive STEMI patients underwent emergent percutaneous coronary intervention, 507 of whom were enrolled and classified into three groups according to the initial angiograms: 1VD, 294 patients; 2VD, 110 patients; and 3VD/left main trunk disease (LMTD), 103 patients. Serum levels of PUFAs, including eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and arachidonic acid, and other laboratory data during hospitalization were evaluated.The serum EPA level in the 3VD/LMTD group was significantly lower than that in the 1VD group (55.5 +/- 22.1 versus 66.2 +/- 28.7, P = 0.002) and was slightly lower than that in the 2VD group (55.5 +/- 22.1 versus 65.2 +/- 28.9, P = 0.0167). Multivariate adjustment analysis revealed that age >/= 70 years (odds ratio, 1.72; 95% confidence interval, 1.03-2.89; P = 0.038) and a low serum EPA level (odds ratio, 0.98; 95% confidence interval, 0.99-1.00; P = 0.023) were independent risk factors for 3VD/LMTD, while a low serum DHA level was not.A low serum EPA level may be more strongly related than a low serum DHA level to the extent of VD in STEMI patients. Age >/= 70 years and a low serum EPA level may be independent risk factors for 3VD/LMTD. FAU - Shimada, Takenobu AU - Shimada T AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Kadota, Kazushige AU - Kadota K AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Eguchi, Haruki AU - Eguchi H AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Osakada, Kohei AU - Osakada K AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Kuwayama, Akimune AU - Kuwayama A AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Ohya, Masanobu AU - Ohya M AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Miura, Katsuya AU - Miura K AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Amano, Hidewo AU - Amano H AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Kubo, Shunsuke AU - Kubo S AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Ozaki, Masatomo AU - Ozaki M AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Hyodo, Yusuke AU - Hyodo Y AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Yoshino, Mitsuru AU - Yoshino M AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Miyake, Koshi AU - Miyake K AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Kawase, Yuichi AU - Kawase Y AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Ohashi, Noriyuki AU - Ohashi N AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Otsuru, Suguru AU - Otsuru S AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Tasaka, Hiroshi AU - Tasaka H AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Habara, Seiji AU - Habara S AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Tada, Takeshi AU - Tada T AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Tanaka, Hiroyuki AU - Tanaka H AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Maruo, Takeshi AU - Maruo T AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Fuku, Yasushi AU - Fuku Y AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Katoh, Harumi AU - Katoh H AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Fujii, Satoki AU - Fujii S AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Goto, Tsuyoshi AU - Goto T AD - Department of Cardiology, Kurashiki Central Hospital. FAU - Mitsudo, Kazuaki AU - Mitsudo K AD - Department of Cardiology, Kurashiki Central Hospital. LA - eng PT - Journal Article DEP - 20171117 PL - Japan TA - Int Heart J JT - International heart journal JID - 101244240 RN - 0 (Biomarkers) RN - 0 (Fatty Acids, Omega-3) SB - IM MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - Coronary Angiography MH - Coronary Artery Disease/*blood/complications/diagnostic imaging MH - Coronary Vessels/*diagnostic imaging MH - Cross-Sectional Studies MH - Fatty Acids, Omega-3/*blood MH - Female MH - Humans MH - Male MH - Middle Aged MH - Percutaneous Coronary Intervention MH - ST Elevation Myocardial Infarction/*blood/complications/therapy OTO - NOTNLM OT - Acute coronary syndrome OT - Cardiovascular disease OT - Docosahexaenoic acid OT - Eicosapentaenoic acid OT - Mulivessel disease EDAT- 2017/11/21 06:00 MHDA- 2017/12/19 06:00 CRDT- 2017/11/21 06:00 PHST- 2017/11/21 06:00 [pubmed] PHST- 2017/12/19 06:00 [medline] PHST- 2017/11/21 06:00 [entrez] AID - 10.1536/ihj.16-565 [doi] PST - ppublish SO - Int Heart J. 2017 Dec 12;58(6):868-873. doi: 10.1536/ihj.16-565. Epub 2017 Nov 17.