Cardiovascular Diseases
Conditions
Keywords
cardiovascular risk, cardiovascular diseases, cardiovascular prevention, polyunsaturated fatty acids, diabetes, hypertension, hypercholesterolemia, obesity
Brief summary
In the everyday practice cardiovascular prevention in people at high risk is still unsatisfactory and treatments with documented efficacy are generally under-used. Polyunsaturated fatty acids of marine origin (n-3 PUFA) are the latest more promising strategy to improve prognosis in these patients. The Risk and Prevention study combines an epidemiological and an experimental approach in order to: 1. Verify the possibility to optimise cardiovascular prevention in subjects at high risk by planning the intervention with patients and setting individual goals (outcome study) 2. Evaluate the efficacy of a long term n-3 PUFA treatment in reducing the incidence of cardiovascular events, through a controlled, randomised, double blind clinical trial.
Interventions
Each subject assigned to active treatment group will receive 1g/day capsule of n-3 PUFA
Each subject assigned to the control group will receive 1 g/day capsule of olive oil.
Sponsors
Study design
Eligibility
Inclusion criteria
* Multiple risk factors: * diabetes, * age =\> 65 years, * male sex, * hypertension, * hypercholesterolemia, * smoking, * obesity, * family history of premature cardiovascular disease; * Previous manifestations of atherosclerotic disease (ischemic stoke, transient ischemic attack \[TIA\], peripheral artery disease, previous arterial revascularisation procedures, angina pectoris)
Exclusion criteria
* Contraindications (known allergies to n-3 PUFA) or indications (previous myocardial infarction) for the treatment with n-3 PUFA * Serious comorbidity with an unfavourable prognosis over the short term * Expected non compliance over a long period of time * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cardiovascular deaths and hospitalization for cardiovascular causes | 5 years |
Countries
Italy