Air Pollution and Cardiovascular Disease: JACC State-of-the-Art Review.

Abstract:

:Fine particulate matter <2.5 μm (PM2.5) air pollution is the most important environmental risk factor contributing to global cardiovascular (CV) mortality and disability. Short-term elevations in PM2.5 increase the relative risk of acute CV events by 1% to 3% within a few days. Longer-term exposures over several years increase this risk by a larger magnitude (∼10%), which is partially attributable to the development of cardiometabolic conditions (e.g., hypertension and diabetes mellitus). As such, ambient PM2.5 poses a major threat to global public health. In this review, the authors provide an overview of air pollution and health, including assessment of exposure, impact on CV outcomes, mechanistic underpinnings, and impact of air pollution reduction strategies to mitigate CV risk. The review concludes with future challenges, including the inextricable link between air pollution and climate change, and calls for large-scale trials to allow the promulgation of formal evidence-based recommendations to lower air pollution-induced health risks.

journal_name

J Am Coll Cardiol

authors

Rajagopalan S,Al-Kindi SG,Brook RD

doi

10.1016/j.jacc.2018.07.099

subject

Has Abstract

pub_date

2018-10-23 00:00:00

pages

2054-2070

issue

17

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(18)38355-4

journal_volume

72

pub_type

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