Carotid Artery Blockage: The Role of Omega-3 Fatty Acids - Nutrition

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Carotid artery occlusion


Hello, my relative was diagnosed with 80% carotid artery blockage at Taichung Hospital.
Why did the doctors at Taichung Hospital not recommend taking "deep-sea salmon oil"? Isn't unsaturated fatty acid beneficial for the health of new blood vessels?

Miss Zhang, 30~39 year old female. Ask Date: 2005/01/14

Dr. Shi Guimei reply Nutrition


Hello! The patient has 80% blockage in the carotid artery.
At this point, it is crucial to follow the physician's recommendations and treatment.
While deep-sea salmon oil is rich in EPA and DHA, it is fundamentally still a type of fat.
Normal diets inevitably include fat intake (such as cooking oils and protein sources like eggs, beans, fish, and meat), so additional consumption of deep-sea fish oil capsules, which typically contain a significant amount of fat, may increase the total daily fat intake and could be detrimental to the condition.
It is also important to be aware of another potential negative effect—an increase in lipid oxidation.
In terms of diet, one should avoid various fatty meats, animal skin, fried foods, greasy items, and baked goods.
When selecting fish, meat, eggs, and legumes, it is advisable to increase the proportion of deep-sea fish.
If dairy is consumed, low-fat options should be chosen.
It is beneficial to increase the intake of vegetables and moderate amounts of fruit.
For cooking oils, it is recommended to select oils that are higher in monounsaturated fatty acids, such as olive oil, perilla oil, and high-quality sunflower oil.
Sincerely, Dietitian Shih Kuei-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2005/01/14

More Info


Understanding carotid artery blockage is crucial, especially when it comes to managing cardiovascular health. Your relative's diagnosis of 80% blockage in the carotid artery is significant and warrants careful consideration of dietary and lifestyle changes. Omega-3 fatty acids, particularly those found in deep-sea fish like salmon, are often touted for their cardiovascular benefits, including anti-inflammatory properties and the ability to lower triglyceride levels. However, the recommendation against consuming deep-sea fish oil in this specific case may stem from several factors that need to be understood.

Firstly, while Omega-3 fatty acids can indeed support heart health, their effects can vary based on individual health conditions. In cases of significant arterial blockage, the primary concern is often the risk of plaque rupture and subsequent thrombosis (blood clot formation), which can lead to stroke or other serious complications. The consumption of Omega-3s, while generally beneficial, may not be the most effective intervention in the context of severe carotid artery blockage. Instead, the focus may need to be on more immediate and direct interventions, such as lifestyle modifications, medications, or even surgical options like carotid endarterectomy or stenting.

Secondly, the quality and source of Omega-3 supplements can also play a role. Not all fish oils are created equal; some may contain contaminants such as heavy metals or PCBs (polychlorinated biphenyls), which could pose additional health risks, especially in individuals with compromised vascular health. Therefore, if Omega-3 supplementation is considered, it is crucial to choose high-quality, purified products that are free from harmful substances.

Moreover, while Omega-3 fatty acids can help reduce inflammation and improve endothelial function, they are just one piece of the puzzle. A comprehensive approach to managing carotid artery blockage should include a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins, along with regular physical activity, smoking cessation, and management of other risk factors such as hypertension, diabetes, and high cholesterol.

In terms of dietary sources, if your relative is looking for alternatives to deep-sea fish oil, they might consider incorporating other sources of Omega-3s, such as flaxseed oil or chia seeds, which provide alpha-linolenic acid (ALA), a plant-based Omega-3. However, it’s important to note that ALA must be converted to EPA and DHA (the forms of Omega-3 found in fish) in the body, and this conversion is not very efficient.

Lastly, it’s essential for your relative to have an open dialogue with their healthcare provider about any dietary supplements they are considering. Each individual’s health situation is unique, and what works for one person may not be appropriate for another. The healthcare provider can offer personalized advice based on their overall health status, the severity of the blockage, and any other underlying conditions.

In conclusion, while Omega-3 fatty acids have a role in promoting cardiovascular health, their use in the context of significant carotid artery blockage should be approached with caution. A comprehensive strategy that includes dietary changes, lifestyle modifications, and medical interventions is essential for managing this condition effectively. Always consult with a healthcare professional before making any significant changes to diet or supplementation, especially in the presence of serious health issues like carotid artery blockage.

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