Sexual dimorphism is observed in the progression to congestive heart failure and, ultimately, in longevity in spontaneously hypertensive heart failure (SHHF) rats. As platelet activation Illay impact development of cardiovascular diseases, we studied the effects of obesity and sex on platelet polyunsaturated fatty acid (PUFA) profile and its relationship to platelet aggregation in 6-month-old SHHF rats. After a 24-hr fast, blood Was Obtainedfor measurement of platelet phospholipid omega-6 (n-6) and omega-3 (n-3) PUFA. Collagen-induced platelet aggregation was measured by whole-blood Impedance aggreg-Ollletry. Obese male (OM) SHHF had significantly more platelet arachidonic acid (AA) and total n-6 PUFA than lean males (LMs), leanfemales (LFs), or obese females (OFs). Platelet aggregation Was enhanced in males compared to females, with OMs by 45% compared to OFs and with LMs by 28% compared to LFs. l'hou9h no difference was found between OFs and LFs, platelet aggregation was increased in OMs by 20% compared to LMs. l'hough not significantly different, lag time to initiate platelet aggregation tended to be shortest in OMs and then, in increasing duration, LMs, LFs, and OFs, suggesting that Platelets from male rats were quicker to aggregate than those from females. Platelet aggregation was correlated with platelet AA and total n-6 PUFA content. There was no relationship between n-3 PUFA and platelet aggregation. In SHHF rats, elevatedAA and n-s PUFA levels in platelets are associated with enhanced platelet aggregation. This relationship Is potentiated by obesity and male sex. Exp Bioi Med 229:657-664,2004