Prevention and Treatment of Cardiovascular Diseases with Plant Phytochemicals: A Review

Rakesh Kumar Bachheti1,2, Limenew Abate Worku1,2, Yilma Hunde Gonfa1,3

  • 1Bioprocess and Biotechnology Center of Excellence, Addis Ababa Sciences and Technology University, P.O. Box 16417, Addis Ababa, Ethiopia.

Insights

Cardiovascular diseases (CVDs) are a leading cause of death globally. This study examines 92 plants and their phytochemicals, like flavonoids and terpenoids, for potential CVD prevention and treatment.

Area of Science:

  • Phytochemistry
  • Cardiovascular Pharmacology
  • Traditional Medicine

Background:

  • Cardiovascular diseases (CVDs) are the leading global cause of mortality, responsible for 17.9 million deaths annually.
  • Death rates from CVD increase with age, and women experience higher mortality rates (51%) compared to men (42%).
  • Many individuals utilize traditional plant-derived medicines (phytochemicals) for CVD management, either alongside or instead of conventional drugs.

Purpose of the Study:

  • To investigate the efficacy of medicinal plants and their phytochemicals in preventing and treating cardiovascular diseases.
  • To identify specific plant compounds and their mechanisms of action against CVD.

Main Methods:

  • Reviewed the therapeutic efficacy of 92 plants, including 15 terrestrial species, for CVD treatment.
  • Identified key phytochemicals such as flavonoids, polyphenols, plant sterols, plant sulfur compounds, and terpenoids in these plants.
  • Examined the proposed mechanisms of action for these phytochemicals in combating CVD.

Main Results:

  • Identified several well-known medicinal plants with potential CVD therapeutic properties, including *Daucus carota*, *Ginkgo biloba*, and *Terminalia arjuna*.
  • Highlighted the roles of various phytochemicals: flavonoids prevent LDL oxidation and promote vasodilation; plant sterols reduce cholesterol absorption; plant sulfur compounds activate Nrf2 and inhibit cholesterol synthesis.
  • Quinones increase mitochondrial ATP production, while terpenoids reduce atherosclerotic lesions.

Conclusions:

  • Medicinal plants contain numerous physiologically active compounds with recognized biological effects beneficial for cardiovascular health.
  • Despite the identified benefits, further research is essential to fully understand the mechanisms and specific phytochemicals responsible for CVD treatment.
  • There is a need for developing appropriate CVD prevention and treatment strategies, potentially incorporating these plant-derived compounds.

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