Over the last 25 years I have used a combination of fish oil (EPA and DHA totaling about 1 gm daily) in combination with 81 mg Aspirin in a primary prevention scenario with patients with dyslipidemia. My treated patients, so far this century, have sustained only two fatal acute myocardial infarctions, on in a cigarette smoker with very high blood pressure (well controlled by medication) and wonderful lipids, and the other in an insulin-dependent diabetic (x 40 years), whose lipids and blood pressure were controlled very well, whereas he controlled his blood sugar by self-regulating his insulin therapy, with relatively poor glucose control. Still, this latter patient lived to age 72 years. (Control of lipids and blood pressure are as defined in the 1 August 2008 issue of the American Journal of Cardiology, under the title of "Treating Lipids in the General Population." A follow-up letter describing the graph and diabetes will be published in the next issue of the American Journal of Cardiology.)

the topic is confusing