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. 2019 Sep-Oct;116(5):404–408.

Table 1.

Disease states that may benefit from marine omega-3 supplementation

Study Patient population Dose of omega-3 Benefit
JELIS 18,645 hypercholesterolemic patients on statin therapy 1.8 g EPA Significant 19% reduction in the primary endpoint
DART 2,033 men who experienced a first myocardial infarction (average time post-MI was 41 days) ~ 2.5 grams of EPA/week or 300 grams of fatty fish every week Significant 29% reduction in total mortality in the first 2 years
GISSI-P 11,324 patents early after a myocardial infarction (< 3 months). 1-gram of marine omega-3s Significant 20% decrease in all-cause mortality, 30% decrease in cardiovascular mortality and a 45% decrease in sudden cardiac death.
GISSI-HF 6,935 patients with chronic heart failure 1-gram of marine omega-3s Significant 8% reduction in death or cardiovascular hospitalization, 9% reduction in all-cause mortality and 10% reduction in cardiovascular death
VITAL 25,871 patients over the age of 50 who had no prior history of cardiovascular disease. 1-gram of marine omega-3s Significant 28% reduction in myocardial infarction, 50% reduction in death from myocardial infarction, 22% reduction in percutaneous coronary revascularization and a 17% reduction in total coronary heart disease.
ASCEND 15,480 diabetic patients without known atherosclerotic cardiovascular disease 1-gram of marine omega-3s Significant 18% reduction in vascular death
REDUCE-IT 8,179 patients with established cardiovascular disease or diabetes with hypertriglyceridemia and at least one additional risk factor who had been receiving statin therapy. 4-grams of icosapent ethyl Significant 25% reduction in the primary endpoint (composite of cardiovascular death, nonfatal myocardial infarction, nonfatal stroke, coronary revascularization, or unstable angina) and a significant 26% reduction in the key secondary efficacy endpoint of major adverse cardiovascular events (composite of cardiovascular death, nonfatal myocardial infarction, or nonfatal stroke).