职业消防员与没有世界贸易中心暴露的自我报告的心血管疾病
Alexandra K Mueller1, Hillel Cohen, Ankura Singh
1From the Fire Department of the City of New York, Bureau of Health Services, 9 Metrotech Center, Brooklyn, New York (A.K.M., A.S., M.P.W., D.J.P., R.Z.-O.); Pulmonology Division, Department of Medicine, Montefiore Medical Center, Bronx, New York (A.K.M., A.S., D.J.P., R.Z.-O.); and Department of Epidemiology and Population Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York (H.C., M.P.W., C.B.H., D.J.P., R.Z.-O.).
世界贸易中心 (WTC) 暴露增加了消防员心血管疾病 (CVD) 风险. 即使整体心血管疾病发病率低于普通人群,显而易见的暴露梯度显示,更高的WTC暴露与心血管疾病发病率的增加相关.
科学领域:
- 环境健康 环境健康
- 心血管医学 心血管医学
- 职业健康 职业健康 职业健康
背景情况:
- 应对世界贸易中心 (WTC) 灾难的消防员可能面临长期的健康风险.
- 心血管疾病 (CVD) 在这个人群中是一个重大问题.
研究的目的:
- 评估世界贸易中心 (WTC) 暴露与职业消防员心血管疾病 (CVD) 发生率之间的关联.
- 为了比较暴露在WTC的消防员和未暴露的消防员以及普通人口中的心血管疾病风险.
主要方法:
- 通过健康调查问卷,从四个美国城市的消防员收集了有关人口统计,心血管疾病诊断和风险因素的数据.
- 消防员数据与2019年国家卫生面试调查 (NHIS) 人口数据进行了比较.
主要成果:
- 增加的世界贸易中心 (WTC) 暴露与冠状动脉疾病 (CAD),心肌梗塞和胸痛的更高几率有关.
- 消防员,无论暴露于WTC还是没有暴露,与NHIS的美国普通人口相比,患CAD和中风的几率较低.
结论:
- 一个职业相关的比较组对于考虑到健康工人效应至关重要.
- 尽管整体心血管疾病风险低于普通人群,但存在剂量反应关系,WTC暴露的增加与消防员心血管疾病风险的增加有关.
更多相关视频
09:50Impact Assessment of Repeated Exposure of Organotypic 3D Bronchial and Nasal Tissue Culture Models to Whole Cigarette Smoke
Published on: February 12, 2015
07:35Aggravation of Myocardial Ischemia upon Particulate Matter Exposure in Atherosclerosis Animal Model
Published on: December 10, 2021
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Exercise and Cardiovascular Response
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Psychoneuroimmunology: Cardiovascular Disease
A key area of focus in PNI is the relationship between stress and coronary...
Acute Coronary Syndrome III: Diagnostic Studies
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
Medical History
Coronary Artery Disease I: Introduction
