RT Journal Article SR Electronic T1 Inorganic nitrate and the cardiovascular system JF Heart JO Heart FD BMJ Publishing Group Ltd and British Cardiovascular Society SP 1703 OP 1709 DO 10.1136/hrt.2009.180372 VO 96 IS 21 A1 V Kapil A1 A J Webb A1 A Ahluwalia YR 2010 UL http://heart.bmj.com/content/96/21/1703.abstract AB Fruit and vegetable-rich diets reduce blood pressure and risk of ischaemic stroke and ischaemic heart disease. While the cardioprotective effects of a fruit and vegetable-rich diet are unequivocal, the exact mechanisms of this effect remain uncertain. Recent evidence has highlighted the possibility that dietary nitrate, an inorganic anion found in large quantities in vegetables (particularly green leafy vegetables), may have a part to play. This beneficial activity lies in the processing in vivo of nitrate to nitrite and thence to the pleiotropic molecule nitric oxide. In this review, recent preclinical and clinical evidence identifying the mechanisms involved in nitrate bioactivity, and the evidence supporting the potential utility of exploitation of this pathway for the prevention and/or treatment of cardiovascular diseases are discussed.