Short- and long-term black tea consumption reverses endothelial dysfunction in patients with coronary artery disease

Epidemiological studies suggest that tea consumption decreases cardiovascular risk, but the mechanisms of benefit remain undefined. Endothelial dysfunction has been associated with coronary artery disease and increased oxidative stress. Some antioxidants have been shown to reverse endothelial dysfun...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2001-07, Vol.104 (2), p.151-156
Hauptverfasser: DUFFY, Stephen J, KEANEY, John F, HOLBROOK, Monika, GOKCE, Noyan, SWERDLOFF, Peter L, FREI, Balz, VITA, Joseph A
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container_end_page 156
container_issue 2
container_start_page 151
container_title Circulation (New York, N.Y.)
container_volume 104
creator DUFFY, Stephen J
KEANEY, John F
HOLBROOK, Monika
GOKCE, Noyan
SWERDLOFF, Peter L
FREI, Balz
VITA, Joseph A
description Epidemiological studies suggest that tea consumption decreases cardiovascular risk, but the mechanisms of benefit remain undefined. Endothelial dysfunction has been associated with coronary artery disease and increased oxidative stress. Some antioxidants have been shown to reverse endothelial dysfunction, and tea contains antioxidant flavonoids. Methods and Results-- To test the hypothesis that tea consumption will reverse endothelial dysfunction, we randomized 66 patients with proven coronary artery disease to consume black tea and water in a crossover design. Short-term effects were examined 2 hours after consumption of 450 mL tea or water. Long-term effects were examined after consumption of 900 mL tea or water daily for 4 weeks. Vasomotor function of the brachial artery was examined at baseline and after each intervention with vascular ultrasound. Fifty patients completed the protocol and had technically suitable ultrasound measurements. Both short- and long-term tea consumption improved endothelium- dependent flow-mediated dilation of the brachial artery, whereas consumption of water had no effect (P
doi_str_mv 10.1161/01.CIR.104.2.151
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Endothelial dysfunction has been associated with coronary artery disease and increased oxidative stress. Some antioxidants have been shown to reverse endothelial dysfunction, and tea contains antioxidant flavonoids. Methods and Results-- To test the hypothesis that tea consumption will reverse endothelial dysfunction, we randomized 66 patients with proven coronary artery disease to consume black tea and water in a crossover design. Short-term effects were examined 2 hours after consumption of 450 mL tea or water. Long-term effects were examined after consumption of 900 mL tea or water daily for 4 weeks. Vasomotor function of the brachial artery was examined at baseline and after each intervention with vascular ultrasound. Fifty patients completed the protocol and had technically suitable ultrasound measurements. Both short- and long-term tea consumption improved endothelium- dependent flow-mediated dilation of the brachial artery, whereas consumption of water had no effect (P&lt;0.001 by repeated-measures ANOVA). Tea consumption had no effect on endothelium-independent nitroglycerin-induced dilation. An equivalent oral dose of caffeine (200 mg) had no short-term effect on flow-mediated dilation. Plasma flavonoids increased after short- and long-term tea consumption. Short- and long-term black tea consumption reverses endothelial vasomotor dysfunction in patients with coronary artery disease. 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Vascular system ; Coronary Disease - blood ; Coronary Disease - physiopathology ; Coronary heart disease ; Cross-Over Studies ; Endothelium, Vascular - drug effects ; Endothelium, Vascular - physiopathology ; Female ; Flavonoids - blood ; Heart ; Hemodynamics - drug effects ; Humans ; Lipids - blood ; Male ; Medical sciences ; Middle Aged ; Plant Extracts - administration &amp; dosage ; Tea - metabolism ; Ultrasonography ; Vasodilation - drug effects ; Vasodilator Agents - pharmacology ; Vasomotor System - drug effects ; Vasomotor System - physiopathology</subject><ispartof>Circulation (New York, N.Y.), 2001-07, Vol.104 (2), p.151-156</ispartof><rights>2001 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. 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Endothelial dysfunction has been associated with coronary artery disease and increased oxidative stress. Some antioxidants have been shown to reverse endothelial dysfunction, and tea contains antioxidant flavonoids. Methods and Results-- To test the hypothesis that tea consumption will reverse endothelial dysfunction, we randomized 66 patients with proven coronary artery disease to consume black tea and water in a crossover design. Short-term effects were examined 2 hours after consumption of 450 mL tea or water. Long-term effects were examined after consumption of 900 mL tea or water daily for 4 weeks. Vasomotor function of the brachial artery was examined at baseline and after each intervention with vascular ultrasound. Fifty patients completed the protocol and had technically suitable ultrasound measurements. Both short- and long-term tea consumption improved endothelium- dependent flow-mediated dilation of the brachial artery, whereas consumption of water had no effect (P&lt;0.001 by repeated-measures ANOVA). Tea consumption had no effect on endothelium-independent nitroglycerin-induced dilation. An equivalent oral dose of caffeine (200 mg) had no short-term effect on flow-mediated dilation. Plasma flavonoids increased after short- and long-term tea consumption. Short- and long-term black tea consumption reverses endothelial vasomotor dysfunction in patients with coronary artery disease. 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subjects Administration, Oral
Antioxidants - metabolism
Biological and medical sciences
Blood Glucose - drug effects
Brachial Artery - diagnostic imaging
Brachial Artery - drug effects
Brachial Artery - physiopathology
Caffeine - administration & dosage
Cardiology. Vascular system
Coronary Disease - blood
Coronary Disease - physiopathology
Coronary heart disease
Cross-Over Studies
Endothelium, Vascular - drug effects
Endothelium, Vascular - physiopathology
Female
Flavonoids - blood
Heart
Hemodynamics - drug effects
Humans
Lipids - blood
Male
Medical sciences
Middle Aged
Plant Extracts - administration & dosage
Tea - metabolism
Ultrasonography
Vasodilation - drug effects
Vasodilator Agents - pharmacology
Vasomotor System - drug effects
Vasomotor System - physiopathology
title Short- and long-term black tea consumption reverses endothelial dysfunction in patients with coronary artery disease
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