Abstract
Purpose
Several epidemiological published data support the protective role of omega-3 consumption in coronary artery disease, sudden cardiac death and ventricular arrhythmias, but interestingly, this is not the case for atrial arrhythmias. The purpose of this study is to evaluate different fatty acid profile between AF/AFL subjects and healthy controls.
Methods
Gas chromatography was employed to determine fatty acid percentage of erythrocyte membranes from 40 idiopathic AFL/AF patients and 53 healthy control subjects.
Results
AFL/AF erythrocyte membranes had significantly lower percentage of saturated fatty acid (43.1 ± SD2.2 versus 47.8 ± SD9.6, p < 0.001), monounsaturated fatty acid (18.2 ± SD2.5 versus 22.6 ± SD5.2, p < 0.001) and total trans fatty acid (0.2 ± SD0.1 vs 1.3 ± SD1.1, p < 0.001) than controls. Furthermore, fatty acid (FA) profiles of arrhythmic individuals showed an increased percent of total polyunsaturated fatty acid (PUFA) (36.7 ± SD2.4 versus 26.4 ± SD10.4, p < 0.001), PUFA n-3 (5.3 ± SD1.1 versus 2.8 ± SD1.8, p < 0.001) and n-6 (31.4 ± SD2.2 versus 23.5 ± SD9.9, p < 0.001).
Conclusion
This study shows that the erythrocyte membranes FA composition of AF/AFL subjects differs from that of healthy controls
Similar content being viewed by others
Abbreviations
- AF:
-
Atrial fibrillation
- AFL:
-
Atrial flutter
- PUFA:
-
Long-chain polyunsaturated fatty acids
- MUFA:
-
Monounsaturated fatty acids
- SFA:
-
Saturated fatty acids
- TFA:
-
Trans fatty acid
- PI:
-
Peroxidation Index
- UI:
-
Unsaturation Index
- LLD:
-
Long-living descendants
References
Rosamond, W., Flegal, K., Furie, K., et al. (2008). Heart disease and stroke statistics–2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 117, e25–e146.
Fye, W. B. (2006). Tracing atrial fibrillation–100 years. New England Journal of Medicine, 355, 1412–1414.
Tsang, T. S., Miyasaka, Y., Barnes, M. E., et al. (2005). Epidemiological profile of atrial fibrillation: a contemporary perspective. Progress in Cardiovascular Diseases, 48, 1–8.
Benjamin, E. J., Wolf, P. A., D'Agostino, R. B., et al. (1998). Impact of atrial fibrillation on the risk of death: the Framingham Heart Study. Circulation, 98, 946–952.
Stewart, S., Hart, C. L., Hole, D. J., et al. (2002). A population-based study of the long-term risks associated with atrial fibrillation: 20-year follow-up of the Renfrew/Paisley study. American Journal of Medicine, 113, 359–364.
Lloyd-Jones, D. M., Wang, T. J., Leip, E. P., et al. (2004). Lifetime risk for development of atrial fibrillation: the Framingham Heart Study. Circulation, 110, 1042–1046.
Go, A. S., Hylek, E. M., Phillips, K. A., et al. (2001). Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA, 285, 2370–2375.
Heeringa, J., van der Kuip, D. A., Hofman, A., et al. (2006). Prevalence, incidence and lifetime risk of atrial fibrillation: the Rotterdam study. European Heart Journal, 27, 949–953.
Waldo, A. L. (2005). The interrelationship between atrial fibrillation and atrial flutter. Progress in Cardiovascular Diseases, 48, 41–56.
Waldo, A. L., & Feld, G. K. (2008). Inter-relationships of atrial fibrillation and atrial flutter mechanisms and clinical implications. Journal of the American College of Cardiology, 51, 779–786.
Bang, H. O., Dyerberg, J., & Hjoorne, N. (1976). The composition of food consumed by Greenland Eskimos. Acta Medica Scandinavica, 200, 69–73.
De Caterina, R., Madonna, R., Zucchi, R., et al. (2003). Antiarrhythmic effects of omega-3 fatty acids: from epidemiology to bedside. American Heart Journal, 146, 420–430.
Kris-Etherton, P. M., Harris, W. S., & Appel, L. J. (2002). Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. Circulation, 106, 2747–2757.
Marchioli, R., Barzi, F., Bomba, E., et al. (2002). Early protection against sudden death by n-3 polyunsaturated fatty acids after myocardial infarction: time-course analysis of the results of the Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico (GISSI)-Prevenzione. Circulation, 105, 1897–1903.
Marchioli, R., Schweiger, C., Tavazzi, L., et al. (2001). Efficacy of n-3 polyunsaturated fatty acids after myocardial infarction: results of GISSI-Prevenzione trial. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico. Lipids, 36 Suppl, S119–S126.
Weylandt, K. H., Kang, J. X., & Leaf, A. (1996). Polyunsaturated fatty acids exert antiarrhythmic actions as free acids rather than in phospholipids. Lipids, 31, 977–982.
Brouwer, I. A., Heeringa, J., Geleijnse, J. M., et al. (2006). Intake of very long-chain n-3 fatty acids from fish and incidence of atrial fibrillation. The Rotterdam Study. American Heart Journal, 151, 857–862.
Frost, L., & Vestergaard, P. (2005). n-3 Fatty acids consumed from fish and risk of atrial fibrillation or flutter: the Danish Diet, Cancer, and Health Study. American Journal of Clinical Nutrition, 81, 50–54.
Mozaffarian, D., Psaty, B. M., Rimm, E. B., et al. (2004). Fish intake and risk of incident atrial fibrillation. Circulation, 110, 368–373.
von Schacky, C. (2008). Omega-3 fatty acids: antiarrhythmic, proarrhythmic or both? Current Opinion in Clinical Nutrition and Metabolic Care, 11, 94–99.
Reiffel, J. A., & McDonald, A. (2006). Antiarrhythmic effects of omega-3 fatty acids. American Journal of Cardiology, 98, 50i–60i.
London, B., Albert, C., Anderson, M. E., et al. (2007). Omega-3 fatty acids and cardiac arrhythmias: prior studies and recommendations for future research: a report from the National Heart, Lung, and Blood Institute and Office Of Dietary Supplements Omega-3 Fatty Acids and their Role in Cardiac Arrhythmogenesis Workshop. Circulation, 116, e320–e335.
Harris, W. S. (2007). Omega-3 fatty acids and cardiovascular disease: a case for omega-3 index as a new risk factor. Pharmacological Research, 55, 217–223.
Harris, W. S., & Von Schacky, C. (2004). The Omega-3 Index: a new risk factor for death from coronary heart disease? Preventive Medicine, 39, 212–220.
Pepe, S., & McLennan, P. L. (2002). Cardiac membrane fatty acid composition modulates myocardial oxygen consumption and postischemic recovery of contractile function. Circulation, 105, 2303–2308.
Tanaka, T., Shen, J., Abecasis, G. R., et al. (2009). Genome-wide association study of plasma polyunsaturated fatty acids in the InCHIANTI Study. PLoS Genet, 5, e1000338.
Merrill, A. H., Jr., & Schroeder, J. J. (1993). Lipid modulation of cell function. Annual Review of Nutrition, 13, 539–559.
Ferreri, C., Kratzsch, S., Brede, O., et al. (2005). Trans lipid formation induced by thiols in human monocytic leukemia cells. Free Radical Biology and Medicine, 38, 1180–1187.
Bligh, E. G., & Dyer, W. J. (1959). A rapid method of total lipid extraction and purification. Canadian Journal of Biochemistry and Physiology, 37, 911–917.
Hodges, J. S., & Pihlstrom, B. L. (1998). Software support for clinical studies: review of nQuery Advisor release 2.0. Journal of Dental Research, 77, 525–526.
Fukuda, K., Davies, S. S., Nakajima, T., et al. (2005). Oxidative mediated lipid peroxidation recapitulates proarrhythmic effects on cardiac sodium channels. Circulation Research, 97, 1262–1269.
Vance, D. E., & Goldfine, H. (2002). Konrad Bloch–a pioneer in cholesterol and fatty acid biosynthesis. Biochemical and Biophysical Research Communications, 292, 1117–1127.
Puca, A. A., Andrew, P., Novelli, V., et al. (2008). Fatty acid profile of erythrocyte membranes as possible biomarker of longevity. Rejuvenation Res, 11, 63–72.
Acknowledgments
We are thankful to the participants in our AF/AFL project for their outstanding commitment and cooperation.
Conflicts of interest
None
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Viviani Anselmi, C., Ferreri, C., Novelli, V. et al. Fatty acid percentage in erythrocyte membranes of atrial flutter/fibrillation patients and controls. J Interv Card Electrophysiol 27, 95–99 (2010). https://doi.org/10.1007/s10840-009-9466-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10840-009-9466-8