The purpose of this study is to investigate whether there is a difference in endothelial function, heart rate variability and carotid intimal media thickness in patients with coronary artery disease who are receiving fish oil therapy. One hundred patients with established coronary artery disease by coronary angiography will undergo randomization for enrollment in the study. Baseline evaluation will include assessment of brachial artery endothelial function, heart rate variability and carotid intimal media thickness. Evaluation of the endothelial function of the brachial artery will be elucidated by inflation of a blood pressure cuff around the arm for five minutes and measuring blood vessel dynamics after release of the cuff. Heart rate variability will be evaluated by 24 hour holter monitoring and analysis by standard protocol. Carotid intimal media thickness will be evaluated by ultrasound measurements guided by predetermined protocol. Patients will then be randomized to a highly purified fish oil, Omacor, 1 gram twice a day or placebo. Brachial artery ultrasound and holter monitoring will be repeated at 2 months. Carotid ultrasound will be repeated at the end of the study at 12 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
71
OV-UCLA Medical Center
Sylmar, California, United States
Percent change in flow-mediated vasodilation by brachial artery ultrasound at 2 months
Percent change in flow-mediated vasodilation by brachial artery ultrasound
Time frame: 2 months
Change in heart rate variability indices at 2 months
Change in heart rate variability indices on holter monitor
Time frame: 2 months
Percent change in carotid intimal media thickness at 12 months
Percent change in carotid intimal media thickness on ultrasound
Time frame: 2 months
Change in QT dispersion interval at 2 months
Change in QT dispersion interval on holter monitor
Time frame: 2 months
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