空気汚染と心血管の健康に対する臨床的アプローチの開発
Michael B Hadley1, Jill Baumgartner2, Rajesh Vedanthan2
1Department of Medicine, Icahn School of Medicine at Mount Sinai, New York (M.B.H.) michael.hadley@mountsinai.org.
Circulation
|February 15, 2018
まとめ
調理や交通による大気汚染は 毎年 何百万もの心臓血管疾患による死因となっています この研究は,医療従事者が大気汚染の被曝による患者のリスクを評価し,減らすための臨床的アプローチを概説しています.
科学分野:
- 環境 健康
- 心血管医学
- 公衆衛生
背景:
- 家庭や屋外での大気汚染は 世界中で数十億人に影響しています
- 大気汚染は心臓血管疾患 (CVD) 死亡率の主要な原因であり,従来の危険因子を上回っています.
- 汚染に起因するCVDの管理のための明確な臨床戦略は,現在欠けている.
研究 の 目的:
- 空気汚染への曝露に関連した心血管リスクの評価と軽減のための証拠に基づいた臨床的枠組みを提示する.
- 医療従事者に この世界的な健康問題に取り組むための ツールと介入の力を 与えることです
主な方法:
- 汚染に起因する心臓血管疾患の世界的負担とメカニズムのレビュー
- 汚染の危険因子に基づく患者のスクリーニングツールの開発
- リスクマッピングを含む,大気汚染への曝露と心血管リスクの定量化方法の検討
- 臨床適用のための家事および屋外空気の汚染への介入のまとめ
主要な成果:
- 微粒子の大気汚染は 心血管疾患の大きな要因です
- 実践的なスクリーニングツールとリスク定量化方法が提案されています.
- 様々な汚染源に対する臨床的に適用可能な介入が検討されています.
結論:
- 臨床医は 大気汚染による 心血管疾患の負担を軽減する上で 重要な役割を果たすことができます
- 提案されたブループリントは,この分野におけるエビデンスに基づく臨床実践の基盤を提供します.
- 曝露の定量化と介入の検証のためにさらなる研究が必要である.
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