Data from both animal and human studies provide evidence that salt impairs endothelial function and increases arterial stiffness independent of blood pressure.
Vascular Effects of Dietary Salt
David G. Edwards and William B. Farquhar
Curr Opin Nephrol Hypertens. Author manuscript; available in PMC 2017 May 15.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5431073/
Vascular Stiffness in Aging and Disease
Effects of Sodium Intake on Health and Performance in Endurance and Ultra-Endurance Sports
Dietary Sodium Restriction Reverses Vascular Endothelial Dysfunction in Middle-Aged/Older Adults With Moderately Elevated Systolic Blood Pressure
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Hypertension
Kristen L. Jablonski, Matthew L. Racine, Candace J. Geolfos, Phillip E. Gates, Michel Chonchol, Matthew B. McQueen, and Douglas R. Seals
J Am Coll Cardiol. 2013 Jan, 61 (3) 335–343
Clinical significance
The concept that high sodium intake has adverse CV effects independent of BP has been advanced previously (9,12). High dietary sodium impairs EDD even in rodents that are salt-resistant and, thus, do not exhibit increases in BP in response to a high-salt diet (13,18,20). Acute impairment of EDD in normotensive adults after sodium loading also is BP independent (11), and adults with elevated SBP who report lower sodium intake have enhanced EDD independent of BP (16). The present results extend these findings to sodium restriction and lend support to the overall hypothesis that sodium intake not only elevates BP but also exerts other adverse influences (12). The effects of sodium restriction on endothelial function reported here also complement previous findings that reducing sodium intake can rapidly de-stiffen large elastic arteries (21), another independent vascular risk factor for CVD (40). The improvements in these 2 common forms of arterial dysfunction, both predictors of CV events (3,4,40), suggest that DSR has strong potential for reducing CVD risk via broad vasculoprotective effects.
https://www.jacc.org/doi/10.1016/j.jacc.2012.09.010
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