环境空气污染与心脏形态功能表征之间的关联:英国生物库人口成像研究的见解
Nay Aung1, Mihir M Sanghvi1, Filip Zemrak1
1William Harvey Research Institute, National Institute for Health Research Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, UK; Barts Heart Centre, St. Bartholomew's Hospital, Barts Health National Health Service Trust, London, UK.
Circulation
|December 8, 2018
概括
与交通有关的空气污染,特别是细颗粒物和二氧化,与没有心脏病的个体心脏腔扩大有关. 这种心脏重塑可能会导致心力衰竭.
科学领域:
- 环境健康科学
- 心血管成像
- 流行病学
背景情况:
- 环境空气污染是心血管疾病和死亡的已知危险因素.
- 空气污染物对心脏结构和功能的具体影响仍未得到充分研究.
- 了解这些影响对于公共卫生和预防性心脏病学至关重要.
研究的目的:
- 调查与交通相关的空气污染物和心室尺寸之间的关系.
- 评估空气污染物与排放分数和左心室重塑模式的关联.
- 在大型人口研究中控制潜在的混因素.
主要方法:
- 使用土地利用回归模型估计对颗粒物 (<2.5微米) 和二氧化 (2005-2010) 的暴露.
- 分析了3920名没有心血管疾病的英国生物库参与者的心血管磁共振成像数据.
- 使用多变量线性回归模型在调整混因素后评估关联.
主要成果:
- 较高的颗粒物暴露 (< 2.5 微米) 与左心室和右心室的末端透气和末端静脉体积的显著增加有关.
- 较高的二氧化度也与较大的双心体积相关.
- 较大距离主要道路与左心室质量减少有关;心房参数和LV几何图案没有受到影响.
结论:
- 在无症状人群中,过去暴露于颗粒物 (<2.5微米) 和二氧化与心室扩张有关.
- 这种心室扩张代表了不良的心脏重塑,
- 这些发现突显了常见空气污染物的亚临床心血管影响.
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