Do Omega-3s Help Lower Heart Rate? A Pharmacist Weighs In



Medically reviewed by Lindsay Cook, PharmD

Credit: Evgeniia Gordeeva / Getty Images
Credit: Evgeniia Gordeeva / Getty Images
  • Omega-3s may slightly lower resting heart rate, but the effect is small.
  • High-dose omega-3 supplements may increase the risk of atrial fibrillation in some people.
  • Omega-3s from food sources like fish are generally safer and may offer added heart benefits.

Omega-3s are among the most popular supplements for heart health. They are frequently taken to help reduce risk factors, such as high triglycerides, in people with heart conditions. But can omega-3s influence heart rate, and should people with heart rhythm conditions like atrial fibrillation be cautious? We spoke with a pharmacist about how omega-3s affect heart rate, heart rhythm, and overall cardiovascular function.

Do Omega-3s Lower Resting Heart Rate?

People with elevated heart rates sometimes turn to omega-3 supplements, hoping to lower their resting heart rate and support overall heart health.

"Some studies have shown decreased heart rate with omega-3s," Christine Cadiz, PharmD, a clinical pharmacist in cardiology at UC Irvine, told Health.

A 2023 study in people with atrial fibrillation, also known as A-fib, showed that the participants with higher total omega-3 fatty acid blood levels and higher docosahexaenoic acid (DHA) levels had lower heart rates. This suggests that higher omega-3 levels may be associated with lower heart rates.

However, studies have found omega-3s typically lower heart rate by only about 2 to 3 beats per minute, which is a small change, according to Cadiz. However, if that reduction is maintained over time, it could have meaningful benefits for heart health.

Omega-3s may help lower heart rate through their anti-inflammatory effects and by influencing the electrical signals in heart cells. However, the mechanisms aren’t fully understood. 

Can Omega-3s Raise Heart Rate or Trigger Arrhythmias?

Heart rate refers to the speed of your heartbeats, measured as beats per minute, while your heart rhythm is the pattern of your heartbeats and how regular they are.

A-fib, a heart rhythm disorder, can cause the heart to beat irregularly and often much faster than normal, sometimes causing sensations of fluttering or a pounding heartbeat.

While omega‑3s may offer benefits for some cardiovascular outcomes, they may modestly increase the risk of A-fib in certain people, particularly older adults or those with preexisting heart disease.

For example, a 2024 review found that high-dose omega-3 supplements of 1–4 grams per day were associated with a dose-dependent increase in A-fib risk. Doses around 1 gram per day raised A-fib risk by about 12%, while doses of 1.8–4 grams per day increased risk by roughly 50%.

"This increased risk of A-fib was seen in patients both with and without underlying cardiovascular disease, with a higher risk in those with a history of myocardial infarction (heart attack)," said Cadiz.

Does Food vs. Supplements Make a Difference?

When it comes to A-fib, how you consume omega-3s matters. Higher dietary intake of omega-3s from foods like fatty fish was generally associated with a lower risk of A-fib, meaning that food-based sources of omega-3s don’t pose the same risk. 

This may be because food sources do not contain as high a concentration of omega-3s as supplements, though more research is needed. 

“Compared to fish oil, eating fatty fish provides additional benefits, such as vitamins and  protein,” said Cadiz. Cadiz noted that for those who aren’t able to meet the American Heart Association’s recommendation of at least two 3.5-ounce servings of fish per week, especially fatty fish, omega-3 supplements may be helpful. 

However, it's important to speak with a healthcare provider before starting a supplement, particularly if you have a heart condition or take medications.

Who Should (and Shouldn’t) Take Omega-3s for Heart Health?

Omega-3 supplementation can be especially beneficial for certain populations, such as those with high triglycerides. "Those that have high blood lipids, particularly elevated triglycerides, may benefit most from prescription omega-3 fatty acids," noted Cadiz.

Research shows that higher doses of omega-3s can be effective for lowering triglyceride levels.

They may also be a good option for people who don’t eat fish, as they can help maintain healthy omega-3 levels, which are important for overall heart health. 

However, people with a history of A-fib or other arrhythmias should discuss omega-3 supplement use with their healthcare provider to make sure it’s safe.



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Elasticsearch Aggregations – Table of Content

Characteristics

  • It can be formed together to manufacture complex sum up of information. 
  • It tends to be considered as a single unit-of-work that makes analytic data over a bunch of archives which are accessible in elasticsearch. 
  • It is fundamentally based on the building blocks. 
  • Aggregation functions are the same as GROUP BY COUNT and SQL AVERAGE functions.
  • Utilizing aggregation in elasticsearch, can perform GROUP BY aggregation on any numeric field, yet we should type keywords or there must be fielddata = valid for text fields.

Four categories of Aggregations 

Bucket aggregations

Bucketing is a group of aggregations, which is liable for building buckets. It doesn’t figure metrics over the fields like metric collection. Each pail is related with a key and a report. It is utilized to gather or make information buckets. These information buckets can be made dependent on the current fields, ranges, and altered filters, and so on.

Metric aggregations

These aggregations help in processing matrices from the field’s estimations of the collected reports and at some point a few values can be produced from contents. Numeric matrices can either be single-valued like average aggregation or multi-valued like stats.

Pipeline aggregations

It takes contributions from the yield of different aggregations. Pipeline aggregations are liable for assembling the yield of different aggregations.

Matrix aggregations

Matrix collection is an aggregation that works on different fields. It deals with more than one field and creates a matrix result out of the values, that is extricated from the solicitation record fields. It doesn’t uphold scripting. 

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Types of Aggregations

1. Filter Aggregation

The filter aggregation assists with separating the archives in a solitary bucket. Its fundamental reason for existing is to give the best outcomes to its clients by sifting the archive. We should take a guide to channel the reports dependent on “fees” and “Admission year”. It will restore archives that coordinate with the conditions determined in the query. You can filter the report utilizing any field you need.

POST student/ _search/  

{  

       "query": {    

            "bool": {  

                "filter": [  

                     { "term": { "fees": "22900" } },  

                     { "term": { "Admission year": "2019" } },  

                 ]  

           }  

    }  

}  

Response

{   

"took": 5,  

"timed_out": false,  

"_shards": {  

"total": 1,  

"successful": 1,  

"skipped": 0,  

"failed": 0  

},  

"hits": {  

                   "total": {  

  "value": 1,  

  "relation": "eq"  

           },  

"max_score": 0,  

"hits": [ ]  

{  

         "index": "student",  

          "type": "_doc",  

         "id": "02",  

         "score": 1,  

         "_source": {  

  "name ": "Jose Fernandez",  

 "dob": "07/Aug/1996",  

 "course": "Bcom (H)",  

 "Admission year": "2019",  

  "email": "jassf@gmail.com",  

 "street": "4225 Ersel Street",   

  "state": "Texas",   

 "country": "United States",   

  "zip": "76011",  

  "fees": "22900"  

                   }  

             }  

         ]  

      }  

}  

2. Terms Aggregation

The terms aggregation is liable for producing buckets by the field esteems. By choosing a field (like name, admission year, and so forth), it creates the buckets. Determine the aggregation name in query while making an inquiry. Execute the accompanying code to look through the values assembled by admission year field:

POST student/ _search/  

{  

   "size": 0,    

    "aggs": {    

       "group_by_Admission year": {  

               "terms" : {   

                    "field": "Admission year.keyword"  

                }  

          }  

    }  

}  

By executing the above code, it  will be returned as a group by admission year. The output is as follows.

Output

{   

"took": 179,  

"timed_out": false,  

"_shards": {  

"total": 1,  

"successful": 1,  

"skipped": 0,  

"failed": 0  

},  

"hits": {  

                   "total": {  

 "value": 3,  

 "relation": "eq"  

          },  

"max_score": null,  

"hits": [ ]  

},  

  "aggregations":  {  

         "group_by_Addmission year": {  

             "student1",  

             "doc_count_error_upper_bound": 0,  

             "sum_other_doc_count": 0,  

              "buckets": [  

              {  

      "key ": "2019",  

      "doc_count": 2   

 },  

 {  

      "key": "2018",  

      "doc_count": 1  

}  

                  ]  

          }  

     }  

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3. Nested Aggregation

A nested aggregation permits you to assemble a field with nested reports, a field that has numerous sub-fields.A unique single bucket aggregation that empowers accumulating nested archives. For instance, let’s state we have a list of products, and every item holds the list of resellers, each having its own cost for the item.  Resellers is an array that holds nested documents. The mapping could resemble:

PUT /products

{

  "mappings": {

    "properties": {

      "resellers": { 

        "type": "nested",

        "properties": {

          "reseller": { "type": "text" },

          "price": { "type": "double" }

        }

      }

    }

  }

}

The following request adds a product with two resellers:

PUT /products/_doc/0

{

  "name": "LED TV", 

  "resellers": [

    {

      "reseller": "companyA",

      "price": 350

    },

    {

      "reseller": "companyB",

      "price": 500

    }

  ]

}

The following request returns the minimum price a product can be purchased for:

GET /products/_search

{

  "query": {

    "match": { "name": "led tv" }

  },

  "aggs": {

    "resellers": {

      "nested": {

        "path": "resellers"

      },

      "aggs": {

        "min_price": { "min": { "field": "resellers.price" } }

      }

    }

  }

}

Output

{

  ...

  "aggregations": {

    "resellers": {

      "doc_count": 2,

      "min_price": {

        "value": 350

      }

    }

  }

 }

4. Cardinality Aggregation

This aggregation gives the tally of distinct values in a specific field. It helps to find a unique value for a field. 

POST /schools/_search?size=0

{

   "aggs":{

      "distinct_name_count":{"cardinality":{"field":"fees"}}

   }

}

On running the above code, we get the following result,

Output

{

   "took" : 2,

   "timed_out" : false,

   "_shards" : {

      "total" : 1,

      "successful" : 1,

      "skipped" : 0,

      "failed" : 0

   },

   "hits" : {

      "total" : {

         "value" : 2,

         "relation" : "eq"

      },

      "max_score" : null,

      "hits" : [ ]

   },

   "aggregations" : {

      "distinct_name_count" : {

         "value" : 2

      }

   }

}

The value of cardinality is 2 because there are two distinct values in fees.

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5. Extended Stats Aggregation

This aggregation produces all the statistics about a particular mathematical field in collected documents. 

POST /schools/_search?size=0

{

   "aggs" : {

      "fees_stats" : { "extended_stats" : { "field" : "fees" } }

   }

}

On running the above code, we get the following result,

Output

{

   "took" : 8,

   "timed_out" : false,

   "_shards" : {

      "total" : 1,

      "successful" : 1,

      "skipped" : 0,

      "failed" : 0

   },

   "hits" : {

      "total" : {

         "value" : 2,

         "relation" : "eq"

      },

      "max_score" : null,

      "hits" : [ ]

   },

   "aggregations" : {

      "fees_stats" : {

         "count" : 2,

         "min" : 2200.0,

         "max" : 3500.0,

         "avg" : 2850.0,

         "sum" : 5700.0,

         "sum_of_squares" : 1.709E7,

         "variance" : 422500.0,

         "std_deviation" : 650.0,

         "std_deviation_bounds" : {

            "upper" : 4150.0,

            "lower" : 1550.0

         }

      }

   }

}

6. Stats Aggregation

A multi-value metrics aggregation that figures statistics over numeric values removed from the aggregated reports. It is a multi-value numeric matrix aggregation that helps to create sum, avg, max, min, and count in a single shot. The query structure is the same as the other aggregation

POST /schools/_search?size=0

{

   "aggs" : {

      "grades_stats" : { "stats" : { "field" : "fees" } }

   }

}

On running the above code, we get the following result,

Output

{

   "took" : 2,

   "timed_out" : false,

   "_shards" : {

      "total" : 1,

      "successful" : 1,

      "skipped" : 0,

      "failed" : 0

   },

   "hits" : {

      "total" : {

         "value" : 2,

         "relation" : "eq"

      },

      "max_score" : null,

      "hits" : [ ]

   },

   "aggregations" : {

      "grades_stats" : {

         "count" : 2,

         "min" : 2200.0,

         "max" : 3500.0,

         "avg" : 2850.0,

         "sum" : 5700.0

      }

   }

}

Avg Aggregation

This collection is utilized to get the avg of any numeric field present in the collected records. 

POST /schools/_search

{

   "aggs":{

      "avg_fees":{"avg":{"field":"fees"}}

   }

}

On running the above code, we get the following result −

Output

{

   "took" : 41,

   "timed_out" : false,

   "_shards" : {

      "total" : 1,

      "successful" : 1,

      "skipped" : 0,

      "failed" : 0

   },

   "hits" : {

      "total" : {

         "value" : 2,

         "relation" : "eq"

      },

      "max_score" : 1.0,

      "hits" : [

         {

            "_index" : "schools",

            "_type" : "school",

            "_id" : "5",

            "_score" : 1.0,

            "_source" : {

               "name" : "Central School",

               "description" : "CBSE Affiliation",

               "street" : "Nagan",

               "city" : "paprola",

               "state" : "HP",

               "zip" : "176115",

               "location" : [

                  31.8955385,

                  76.8380405

               ],

            "fees" : 2200,

            "tags" : [

               "Senior Secondary",

               "beautiful campus"

            ],

            "rating" : "3.3"

         }

      },

      {

         "_index" : "schools",

         "_type" : "school",

         "_id" : "4",

         "_score" : 1.0,

         "_source" : {

            "name" : "City Best School",

            "description" : "ICSE",

            "street" : "West End",

            "city" : "Meerut",

            "state" : "UP",

            "zip" : "250002",

            "location" : [

               28.9926174,

               77.692485

            ],

            "fees" : 3500,

            "tags" : [

               "fully computerized"

            ],

            "rating" : "4.5"

         }

      }

   ]

 },

   "aggregations" : {

      "avg_fees" : {

         "value" : 2850.0

      }

   }

}

Max Aggregation

This aggregation finds the maximum value of a particular numeric field in collected archives. 

POST /schools/_search?size=0

{

   "aggs" : {

   "max_fees" : { "max" : { "field" : "fees" } }

   }

}

On running the above code, we get the following result −

Output

{

   "took" : 16,

   "timed_out" : false,

   "_shards" : {

      "total" : 1,

      "successful" : 1,

      "skipped" : 0,

      "failed" : 0

   },

  "hits" : {

      "total" : {

         "value" : 2,

         "relation" : "eq"

      },

      "max_score" : null,

      "hits" : [ ]

   },

   "aggregations" : {

      "max_fees" : {

         "value" : 3500.0

      }

   }

}

Min Aggregation

This aggregation finds the maximum value of a particular numeric field in collected archives. 

POST /schools/_search?size=0

{

   "aggs" : {

      "min_fees" : { "min" : { "field" : "fees" } }

   }

}

On running the above code, we get the following result −

Output

{

   "took" : 2,

   "timed_out" : false,

   "_shards" : {

      "total" : 1,

      "successful" : 1,

      "skipped" : 0,

      "failed" : 0

   },

   "hits" : {

      "total" : {

         "value" : 2,

         "relation" : "eq"

      },

      "max_score" : null,

      "hits" : [ ]

   },

  "aggregations" : {

      "min_fees" : {

         "value" : 2200.0

      }

   }

}

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Sum Aggregation

This aggregation finds the maximum value of a particular numeric field in collected archives.

POST /schools/_search?size=0

{

   "aggs" : {

      "total_fees" : { "sum" : { "field" : "fees" } }

   }

}

On running the above code, we get the following result −

Output

{

   "took" : 8,

   "timed_out" : false,

   "_shards" : {

      "total" : 1,

      "successful" : 1,

      "skipped" : 0,

      "failed" : 0

   },

   "hits" : {

      "total" : {

         "value" : 2,

         "relation" : "eq"

      },

      "max_score" : null,

      "hits" : [ ]

   },

   "aggregations" : {

      "total_fees" : {

         "value" : 5700.0

      }

   }

}

7. Aggregation Metadata

You can add some information about the aggregation at the hour of solicitation by utilizing meta tag and can get that accordingly.

POST /schools/_search?size=0

{

   "aggs" : {

      "min_fees" : { "avg" : { "field" : "fees" } ,

         "meta" :{

            "dsc" :"Lowest Fees This Year"

         }

      }

   }

}

On running the above code, we get the following result −

Output

{

   "took" : 0,

   "timed_out" : false,

   "_shards" : {

      "total" : 1,

      "successful" : 1,

      "skipped" : 0,

      "failed" : 0

   },

   "hits" : {

      "total" : {

         "value" : 2,

         "relation" : "eq"

      },

      "max_score" : null,

      "hits" : [ ]

   },

   "aggregations" : {

      "min_fees" : {

         "meta" : {

            "dsc" : "Lowest Fees This Year"

         },

         "value" : 2850.0

      }

   }

}

Conclusion

The different types of aggregations have their own purpose and functions. We have discussed it in detail about it using the coding examples. There exists metrics aggregations that are used in particular cases such as geo bounds aggregation and geo centroid aggregation to get the understanding of geo location. You could understand the concept of aggregation through the examples provided.

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