Low Serum Levels of Eicosapentaenoic Acid and Docosahexaenoic Acid are Risk Factors for Cardiogenic Syncope in Patients with Brugada Syndrome

  • Yagi Shusuke
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences Department of Community Medicine and Human Resource Development, Tokushima University Graduate School of Biomedical Sciences Department of Internal Medicine, Shikoku Central Hospital
  • Soeki Takeshi
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Aihara Ken-ichi
    Department of Community Medicine for Diabetes and Metabolic Disorders, Tokushima University Graduate School of Biomedical Sciences
  • Fukuda Daiju
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Ise Takayuki
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Kadota Muneyuki
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Bando Sachiko
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Matsuura Tomomi
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Tobiume Takeshi
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Yamaguchi Koji
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Kusunose Kenya
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Yamada Hirotsugu
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Wakatsuki Tetsuzo
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Shimabukuro Michio
    Department of Cardio-Diabetes Medicine, Tokushima University Graduate School of Biomedical Sciences
  • Akaike Masashi
    Departments of Medical Education, Tokushima University Graduate School of Biomedical Sciences
  • Sata Masataka
    Department of Cardiovascular Medicine, Tokushima University Graduate School of Biomedical Sciences

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抄録

<p>The n-3 polyunsaturated fatty acids (PUFAs), including eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), have antiarrhythmic effects, possibly via modulation of the cardiac ion channels. Nevertheless, it is unknown whether low serum levels of n-3 PUFAs are risk factors for ventricular fibrillation in patients with Brugada syndrome (BrS). We retrospectively reviewed data from 62 men with BrS and evaluated their serum levels of EPA and DHA, and the risk factors for sudden cardiac death, including a history of cardiogenic syncope. Nineteen patients had a history of cardiogenic syncope, and their EPA and DHA levels were significantly lower than those of the patients without syncope. Multivariate logistic regression analysis revealed that low EPA and DHA levels were associated with the incidence of syncope. The receiver-operator characteristic curve showed the area under the curves of EPA and DHA for history of syncope were 0.84 and 0.72, respectively. In conclusion, low levels of EPA and DHA are risk factors for cardiogenic syncope in patients with BrS, which suggests that n-3 PUFAs play important roles in preventing ventricular fibrillation in BrS.</p>

収録刊行物

  • International Heart Journal

    International Heart Journal 58 (5), 720-723, 2017

    一般社団法人 インターナショナル・ハート・ジャーナル刊行会

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