发展对空气污染和心血管健康的临床方法
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
概括
每年有数百万人死于心血管疾病, 这项研究概述了医疗保健提供者的临床方法, 以评估和减少患者因空气污染暴露而面临的风险.
科学领域:
- 环境健康
- 心血管医学
- 公共卫生
背景情况:
- 家庭和户外空气污染影响全球数十亿人.
- 空气污染是导致心血管疾病死亡的主要原因,超过了传统的风险因素.
- 目前还没有明确的临床策略来管理污染引起的心血管疾病.
研究的目的:
- 提供基于证据的临床框架来评估和减轻与空气污染相关的心血管风险.
- 让临床医生拥有应对这一全球性健康挑战的工具和干预措施.
主要方法:
- 全球污染带来的心血管疾病负担和机制的审查.
- 基于污染暴露风险因素的患者查工具的开发.
- 讨论量化空气污染暴露和心血管风险的方法,包括风险映射.
- 用于临床应用的家庭和户外空气污染干预措施的汇编.
主要成果:
- 颗粒物空气污染是心血管疾病的重要驱动因素.
- 提出了一个实用的选工具和风险量化方法.
- 对各种污染源的临床适用干预措施进行了审查.
结论:
- 临床医生可以在减少与空气污染相关的心血管疾病负担方面发挥重要作用.
- 拟议的蓝图为这一领域的基于证据的临床实践提供了基础.
- 需要进一步的研究来完善暴露量和验证干预措施.
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