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Published on: December 2, 2014
Caffeine increases aortic stiffness in hypertensive patients
Charalambos Vlachopoulos1, Kozo Hirata, Christodoulos Stefanadis
1Medical Professorial Unit, St. Vincent's Hospital and Clinic, University of New South Wales, Sydney, Australia. cvlachop@otenet.gr
Insights
Caffeine consumption acutely increases aortic stiffness in treated hypertensive patients, raising concerns for cardiovascular risk. This study highlights caffeine
Area of Science:
- Cardiovascular Physiology
- Pharmacology
Background:
- Caffeine is a widely consumed substance.
- Aortic stiffness is a key cardiovascular performance indicator and risk predictor.
- Hypertension management often involves lifestyle considerations.
Purpose of the Study:
- To investigate the acute effects of caffeine on aortic stiffness.
- To assess caffeine's impact in patients with treated hypertension.
Main Methods:
- Randomized, placebo-controlled, double-blind, cross-over study.
- 12 treated hypertensive patients received 250 mg caffeine or placebo.
- Aortic stiffness measured via carotid-femoral pulse wave velocity over 3 hours.
Main Results:
- Caffeine significantly increased systolic blood pressure and pulse pressure.
- Aortic stiffness, measured by pulse wave velocity, increased significantly post-caffeine.
- These effects persisted for 3 hours, peaking at 60 minutes.
Conclusions:
- Caffeine acutely and unfavorably affects aortic stiffness in treated hypertensive patients.
- This finding suggests potential cardiovascular risks associated with caffeine intake in this population.
- Highlights the importance of considering caffeine consumption in hypertension management.
Background:
Caffeine is the most widely used pharmacologic substance. Aortic stiffness is an important factor for cardiovascular system performance and a prognosticator of cardiovascular risk. We investigated the effect of caffeine on aortic stiffness in treated hypertensive patients.
Methods:
We studied the effect of caffeine (250 mg) in 12 treated hypertensive patients according to a randomized, placebo-controlled, double-blind, cross-over design during a 3-h period. Aortic stiffness was evaluated by carotid-femoral pulse wave velocity.
Results:
Systolic blood pressure (BP) and pulse pressure increased significantly throughout the study (by 12.3 and 7.4 mm Hg, P =.005 and P <.01, respectively), whereas diastolic BP did not change. Pulse wave velocity increased (by 0.57 m/sec, P <.05) denoting an increase in aortic stiffness. This effect of caffeine lasted throughout the study (3 h), peaking at 60 min and decreasing progressively thereafter.
Conclusions:
These results demonstrate, for the first time, that caffeine exerts an acute unfavorable effect on aortic stiffness in treated hypertensive patients. This finding has important implications for the impact of caffeine consumption on cardiovascular risk in hypertension.
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