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2025 Faculty of Biomedical Sciences EURASIAN EXPERIMENT JOURNAL OF MEDICINE AND MEDICAL SCIENCES (EEJMMS)

Narrative Review Phytochemicals of Cardiovascular-Protective

Bizimana Rukundo T.

Cardiovascular diseases (CVDs) remain the leading cause of morbidity and mortality worldwide, with atherosclerosis, endothelial dysfunction, oxidative stress, and chronic inflammation as central mechanisms in their pathogenesis. Increasing evidence highlights the role of phytochemicals, non-nutritive bioactive compounds from plants, in the prevention and management of CVDs. This narrative review synthesizes current findings on the cardioprotective effects of major phytochemical classes, including flavonoids, polyphenols, terpenoids, and alkaloids. These compounds exert multiple biological actions, such as antioxidant and anti-inflammatory effects, regulation of lipid metabolism, improvement of endothelial function, and protection against ischemia-reperfusion injury. Clinical studies demonstrate that phytochemical-rich diets, such as the Mediterranean and Nordic diets, are associated with reduced cardiovascular risk, improved lipid profiles, lower systemic inflammation, and enhanced vascular function. Despite promising evidence, variations in dosage, bioavailability, and long-term outcomes underscore the need for well-designed randomized controlled trials to confirm these benefits. Overall, phytochemicals represent a promising, natural, and accessible strategy to mitigate cardiovascular risk and promote long-term heart health.