Related Experiment Video
Updated: Jul 14, 2026

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Analysis of antihypertensive effects of statins
Haralampos J Milionis1, Evagelos N Liberopoulos, Moses S Elisaf
1Department of Clinical Biochemistry, Vascular Disease Prevention Clinics, Royal Free Hospital, Pond Street, London NW3 2QG, UK.
Insights
Statins, used for high cholesterol, also lower blood pressure (BP) through mechanisms beyond lipid reduction. This BP reduction may offer additional cardiovascular disease (CVD) benefits, especially in hypertensive patients.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Hypertension and hyperlipidemia are major cardiovascular disease (CVD) risk factors that frequently coexist.
- Statins are primary treatments for hyperlipidemia, offering significant CVD risk reduction.
- Emerging evidence suggests statins may also lower blood pressure (BP).
Purpose of the Study:
- To explore the potential blood pressure-lowering effects of statins.
- To investigate if statin-induced BP reduction is independent of lipid-lowering effects.
- To assess the clinical relevance of statins in managing hypertension.
Main Methods:
- Review of clinical and experimental evidence on statin effects on blood pressure.
- Analysis of data from large landmark studies involving statins and hypertensive patients.
Main Results:
- Statins demonstrate a capacity to modulate blood pressure (BP).
- The BP-lowering mechanisms of statins appear independent of their lipid-modifying effects.
- Studies confirm statins reduce CVD risk in hypertensive individuals.
Conclusions:
- Statin-induced BP reduction, though small, may be clinically significant.
- Statins could serve as an adjunctive therapy for hypertension, particularly in patients with dyslipidemia or normal cholesterol.
- Further large-scale trials are needed to confirm additional clinical outcome benefits from statin-mediated BP reduction.
Abstract:
Hypertension and hyperlipidemia, two powerful risk factors of cardiovascular disease (CVD), often coexist. Therefore, treatment should consider the beneficial properties of drugs used to treat either condition. Statins, the mainstay of lipid-lowering therapy, result in a significant clinical benefit both in primary and secondary CVD prevention. In addition to their hypolipidemic capacity, other properties may contribute to statin-induced benefits. Clinical and experimental evidence indicates that statins may modulate blood pressure (BP). The mechanisms by which statins reduce BP seem to be largely independent of their lipid effects. Although small, reductions in BP are possibly clinically relevant. Large landmark studies confirm that statins can reduce CVD risk in hypertensive patients. These findings suggest that statins could be prescribed as an adjunct in treating hypertension with dyslipidemia or even in patients with "normal" cholesterol levels. Whether the effect of statins on BP is accompanied by an additional decrease in clinical outcomes needs to be investigated in long-term, large-scale trials.
Related Concept Videos
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
Antianginal Drugs: Calcium Channel Blockers and Ranolazine
CCBs, a diverse class that includes dihydropyridines (nifedipine) and diphenylalkylamines (verapamil and diltiazem), exert their effect by blocking calcium channels in cardiac and smooth muscle cells. This...
Atherosclerosis III: Management
Antihypertensive Drugs: Action of β1 Blockers
Antihypertensive Drugs: Vasodilators
Antihypertensive Drugs: Direct Renin Inhibitors