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Calvo et al.                                                                                                                                                              Omega-3 fatty acids in cardiovascular health







































           Figure 7: Role of polyunsaturated fatty acids in cardiovascular function. The actions of n3-PUFAs are diverse, including the decrease
           of the inflammatory response via NF-kB inhibition, as well as an increase of β-oxidation, causing the catabolism of triaclyglycerides and
           contributing to the decrease of lipids stored both in the liver and vessel walls. In addition, by increasing the production of TXA3 in vessel
           walls, PUFAs decrease vascular resistance, reducing blood pressure. On the other hand, one of the most described effects of n3-PUFAs is
           their action on cardiac arrhythmia, by inhibiting voltage-gated ion channels and exchangers, as well as increasing the vagal tone of the atria
           and ventricles, which leads to a lower heart rate. PUFA: polyunsaturated fatty acids; TXA2: thromboxane A2; TXA3: thromboxane A3; COX-
           1: cyclooxygenase 1; DAT: 1,2 diglyceride acyltransferase; TAG: triacylglycerides; NF-kB: nuclear factor kappa B; TLR-4: toll-like receptor 4;
           VLDL: very low-density lipoproteins

           of  the most pressing issues is the assessment of   Patient consent
           potential adverse effects linked to the therapeutic   Not applicable.
           implementation  of  n3-PUFAs,  along with the
           determination of adequate dosing and sources for these   Ethics approval
           molecules in a myriad of specific clinical scenarios.
                                                              Not applicable.
           Authors’ contributions
           Article conception and design: M.J.  Calvo, M.S.   REFERENCES
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           Conflicts of interest                                 Cardiovascular disease: a costly burden for America. Projections
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           There are no conflicts of interest.                   heart-public/@wcm/@adv/documents/downloadable/ucm_491543.
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