Environmental factors in cardiovascular disease
Kristen E Cosselman1, Ana Navas-Acien2, Joel D Kaufman1
1Department of Environmental and Occupational Health Sciences, University of Washington, 4225 Roosevelt Way Northeast, Suite 100, Seattle, WA 98105, USA.
Nature Reviews. Cardiology
|October 14, 2015
Summary
Environmental exposures like air pollution and heavy metals significantly contribute to cardiovascular disease (CVD) development and mortality. Reducing these risks is crucial for public health and lowering CVD burden globally.
Area of Science:
- Environmental Health
- Cardiovascular Medicine
- Toxicology
Background:
- Cardiovascular disease (CVD) is a leading cause of death globally.
- Environmental exposures are increasingly recognized as significant contributors to CVD.
- Key environmental agents include ambient air pollution and heavy metals like arsenic, cadmium, and lead.
Purpose of the Study:
- To highlight the underappreciated role of environmental exposures in CVD.
- To discuss the pathophysiological mechanisms linking environmental factors to CVD.
- To emphasize the need for public health strategies to mitigate environmental risks for cardiovascular health.
Main Methods:
- Review of existing scientific literature on environmental exposures and CVD.
- Analysis of pathophysiological pathways affected by pollutants.
- Examination of epidemiological data linking exposure levels to cardiovascular risk.
Main Results:
- Environmental exposures, similar to traditional risk factors, initiate and augment CVD processes.
- Adverse cardiovascular effects are observed even at exposure levels below current regulatory standards.
- Widespread environmental exposure, even at low levels, has a substantial impact on population cardiovascular health.
Conclusions:
- Environmental factors are critical, yet underappreciated, risk factors for cardiovascular disease.
- Reducing environmental exposures is a viable strategy to lower the global burden of CVD.
- Public health interventions targeting environmental risk reduction are essential for preventing CVD death and disability.
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