Table 1

Characteristics of RCT included in the meta-analysis

Author (study) year (ref no)CountryDesignStudy populationRegimenNo of patientsDosageDurationAge (years)Men (%)
Calo et al 200520ItalyR, OLPost-CABG, SR
  • Intervention

  • Control

  • 79

  • 81

  • 0.85–0.88 g/day EPA; 1.7–1.76 g/day DHA

  • Usual care

Immediate postoperative period until discharge
  • 66.2

  • 64.9

  • 86

  • 84

Erdogan et al 2007* 24GermanyR, DB, PC
  • Persistent AF >48 h

  • Post-cardioversion

  • Intervention

  • Placebo

  • 54

  • 54

  • 301.5 mg α-linolenacid

  • Placebo

4 Weeks before and 1 year after EC
  • 66.5

  • 63.5

  • 70

  • 74

Margos et al 2007* 27GreeceR, OL
  • Persistent AF

  • Post-cardioversion

  • Intervention

  • Control

  • 20

  • 20

  • PUFA

  • Control

NA
  • 54

  • 57

  • 85

  • 55

Heidt et al 200921GermanyR, DBPost-CABG, SR
  • Intervention

  • Control

  • 52

  • 50

  • 100 mg/kg per day PUFA infused by perfusion pump (EPA:DHA 0.9:1)

  • 100 mg/kg per day soya oil infused by perfusion pump

12 h before CABG until transfer from the ICU to a normal ward
  • 65

  • 67

  • 73

  • 64

Heidarsdottir et al 201022IcelandR, DB, PCPost-open heart surgery, SR
  • Intervention

  • Placebo

  • 83

  • 85

  • 1.24 g/day EPA; 1 g/day DHA

  • 2 g/day olive oil

5–7 Days before surgery until discharge
  • 67

  • 67

  • 81.9

  • 76.9

Saravanan et al 201023UKR, DB, PCPost-CABG, SR
  • Intervention

  • Placebo

  • 52

  • 51

  • 2 g/day PUFA (EPA:DHA 1.2:1)

  • 2 g/day olive oil

Before CABG until discharge
  • 64

  • 68

  • 77

  • 82

Sandesara et al 2010* 26USAR, DB, PCPost-CABG, SR
  • Intervention

  • Placebo

  • 120

  • 123

  • 4 g/day PUFA before CABG, 2 g/day PUFA after CABG (EPA:DHA 1.24:1)

  • 4 g/day corn oil before CABG, 2 g/day corn oil after CABG

Preoperatively until primary endpoint or 14 days
  • 63

  • 62

  • 78

  • 83

Bianconi et al 201025ItalyR, DB, PC
  • Persistent AF >1 month

  • Post-cardioversion

  • Intervention

  • Placebo

  • 95

  • 92

  • 3 g/day PUFA 1 week before and 2 g/day thereafter (EPA:DHA 1.2:1)

  • Placebo

1 Week before and 6 months after EC
  • 69

  • 69

  • 67

  • 62

Nodari et al 2010* 28ItalyR, PC
  • Persistent AF >1 month and on amiodarone and RASi;

  • Post-cardioversion

  • Intervention

  • Placebo

  • 100

  • 99

  • 1 g/day PUFA

  • Placebo

NA
  • 70

  • 69

NA
Kowey et al 201029USAR, DB, PCSymptomatic paroxysmal and persistent AF (5:1)
  • Intervention

  • Placebo

  • 322

  • 323

  • 4 g/day PUFA with loading dose of 8 g/day for the first 7 days (EPA:DHA 1.24:1)

  • 4 g/day corn oil with loading dose of 8 g/day for the first 7 days

24 Weeks after enrolment
  • 60

  • 61

  • 60

  • 53

  • * Abstract only.

  • AF, atrial fibrillation; CABG, coronary artery bypass graft surgery; DB, double blind; DHA, docosahexaenoic acid; EC, electrical cardioversion; EPA, eicosapentaenoic acid; ICU, intensive care unit; NA, not available.; OL, open-label; PC, placebo-controlled; PUFA, omega-3 polyunsaturated fatty acids; R, randomised; RCT, randomised controlled trial; RASi, renin–angiotensin system; SR, sinus rhythm.