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Ultrasound Assessment of Endothelial Function: A Technical Guideline of the Flow-mediated Dilation Test
Published on: April 27, 2016
Omega-3 fatty acids supplementation improves endothelial function and arterial stiffness in hypertensive patients
Marcela A Casanova1, Fernanda Medeiros2, Michelle Trindade1
1Department of Clinical Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Insights
Omega-3 fatty acids improved vascular aging in high-risk patients with hypertriglyceridemia by enhancing endothelial function and reducing arterial stiffness. Ciprofibrate lowered blood pressure in low-risk patients.
Area of Science:
- Cardiology
- Pharmacology
- Vascular Biology
Background:
- The association between hypertriglyceridemia and cardiovascular disease remains debated.
- Hypertension and hypertriglyceridemia are significant risk factors for cardiovascular events.
Purpose of the Study:
- To compare the effects of omega-3 fatty acids and ciprofibrate on vascular structure and function.
- To evaluate these effects in hypertensive patients with hypertriglyceridemia stratified by cardiovascular risk.
Main Methods:
- A randomized trial involving 29 hypertensive adults with hypertriglyceridemia (triglycerides 150-499 mg/dL).
- Participants were divided into low (<7.5%) and high (≥7.5%) cardiovascular risk groups.
- Intervention involved 12 weeks of omega-3 fatty acids (1800 mg/d) or ciprofibrate (100 mg/d), followed by an 8-week washout and cross-over.
Main Results:
- Ciprofibrate significantly decreased peripheral and aortic systolic blood pressure in low-risk patients.
- Omega-3 fatty acids significantly reduced pulse wave velocity (arterial stiffness) and increased flow-mediated dilation (endothelial function) in high-risk patients.
Conclusions:
- Omega-3 fatty acids demonstrate a beneficial effect on vascular aging, specifically improving arterial stiffness and endothelial function in high-risk hypertensive patients with hypertriglyceridemia.
- Ciprofibrate effectively reduced blood pressure in low-risk hypertensive patients with hypertriglyceridemia.
Abstract:
Association between hypertriglyceridemia and cardiovascular (CV) disease is still controversial. The purpose of this study was to compare omega-3 and ciprofibrate effects on the vascular structure and function in low and high CV risk hypertensive patients with hypertriglyceridemia. Twenty-nine adults with triglycerides 150-499 mg/dL were divided into low (<7.5%) and high (≥7.5%) CV risk, randomized to receive omega-3 fatty acids 1800 mg/d or ciprofibrate 100 mg/d for 12 weeks. Treatment was switched after 8-week washout. Clinical evaluation and vascular tests were assessed at baseline and after intervention. Peripheral (131 ± 3 to 125 ± 3 mm Hg, P < .05) and aortic (124 ± 3 to 118 ± 2 mg/dL, P < .05) systolic blood pressure were decreased by ciprofibrate in low-risk patients. In high-risk patients, pulse wave velocity was reduced (10.4 ± 0.4 to 9.4 ± 0.3 m/s, P < .05) and flow-mediated dilation was increased (11.1 ± 1.6 to 13.5 ± 1.2%, P < .05) by omega-3. In conclusion, omega-3 improved arterial stiffness and endothelial function, pointing out the beneficial effect of this therapy on vascular aging, in high-risk patients.
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