EPA changes fat (lipid) metabolism. It also lowers harmful lipid levels in the bloodstream. EPA has been shown to decrease triglycerides, LDL, and VLDL. It reduces the damage lipids cause on the lining of the blood vessels.
EPA also reduces overproduction of cells that line the blood vessels. This is called the endothelial lining. This may help reduce the risk of hardening of the arteries (atherosclerosis).
EPA is also used to treat severe respiratory issues. These include adult respiratory distress syndrome and chronic obstructive pulmonary disease. But EPA isn't a standard treatment for these diseases.