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Vascular changes in workers exposed to carbon disulfide
L Braeckman1, K Kotseva, D Duprez
1Vascular Laboratory, Ghent University Hospital, Belgium. Lutgart.Braeckman@rug.ac.be
Annals of the Academy of Medicine, Singapore
|October 18, 2001
Summary
Occupational exposure to carbon disulfide (CS2) below the threshold limit value can negatively impact arterial elasticity and increase heart rate in viscose industry workers. These functional changes occur before clinical or biochemical signs of disease are apparent.
Area of Science:
- Occupational Health
- Cardiovascular Physiology
- Toxicology
Background:
- Carbon disulfide (CS2) is a solvent used in the viscose industry.
- Occupational exposure limits exist to prevent adverse health effects.
- The impact of CS2 exposure below current thresholds on vascular health requires further investigation.
Purpose of the Study:
- To evaluate the effects of low-level occupational CS2 exposure on arterial structure and function.
- To assess impacts on heart rate, blood pressure, and lipid profiles.
- To determine if CS2 exposure below the threshold limit value (31 mg/m3) causes adverse vascular changes.
Main Methods:
- 85 male viscose industry workers and 35 controls were studied.
- Personal active sampling measured CS2 concentrations (2.34–32.4 mg/m3).
- Arterial distensibility, compliance, elasticity, heart rate, blood pressure, and lipids were assessed using echography and waveform analysis.
Main Results:
- Exposed workers showed significantly lower common carotid artery distensibility and higher heart rate compared to controls.
- These differences persisted after adjusting for confounding factors like age, BMI, and smoking.
- No significant effects of CS2 were observed on blood pressure, common carotid artery intima-media thickness, global arterial indices, or lipid profiles.
Conclusions:
- Occupational exposure to CS2 at concentrations below the current threshold limit value can induce alterations in common carotid artery elastic properties.
- Functional changes in the vessel wall, particularly in specific vascular territories, may occur before detectable biochemical or clinical abnormalities.
- These findings suggest a need to re-evaluate current occupational exposure limits for CS2.