Climate change and cardiovascular disease: implications for global health

Nature Reviews Cardiology, Journal Year: 2022, Volume and Issue: 19(12), P. 798 - 812

Published: June 7, 2022

Language: Английский

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Environmental pollutants and their effects on human health

Heliyon, Journal Year: 2023, Volume and Issue: 9(9), P. e19496 - e19496

Published: Aug. 25, 2023

Numerous environmental contaminants significantly contribute to human disease, affecting climate change and public individual health, resulting in increased mortality morbidity. Because of the scarcity information regarding pollution exposure from less developed nations with inadequate waste management, higher levels poverty, limited adoption new technology, relationship between pollutants health effects needs be investigated more. A similar situation is present many countries, where solutions are only discovered after harm has already been done necessity for safeguards subsided. The connection toxins better understood due difficulties quantifying a lack systematic monitoring. Different blame both chronic acute disorders.Additionally, research becomes challenging when disease problems seen prolonged exposure. This review aims discuss understanding association bridging this knowledge gap. genesis cancer impact various on body's cardiovascular, respiratory, reproductive, prenatal, neural discussed overview.

Language: Английский

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Soil and water pollution and human health: what should cardiologists worry about?

Cardiovascular Research, Journal Year: 2022, Volume and Issue: 119(2), P. 440 - 449

Published: May 10, 2022

Healthy soil is foundational to human health. needed grow crops, provides food, and sustains populations. It supports diverse ecosystems critical ecological services such as pollination. stores water prevents floods. captures carbon slows global climate change. Soil pollution a great growing threat may be polluted by heavy metals, organic chemicals pesticides, biological pathogens, micro/nanoplastic particles. Pollution reduces soil's ability yield food. results in food crop contamination disease. pollutants wash into rivers causing pollution. Deforestation causes erosion, liberates sequestered pollutants, generates airborne dust. of air, water, responsible for at least 9 million deaths each year. More than 60% pollution-related disease death due cardiovascular Recognizing the importance health, European Commission EU Action Plan 2050: A Planet All, have determined that must reduced levels cause no harm or ecosystem We are thus required create toxic-free environment, respect concept safe operating space humanity, sustain health our planet future generations. This review article summarizes current knowledge links between discusses more important their effects.

Language: Английский

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The Lancet Commission to reduce the global burden of sudden cardiac death: a call for multidisciplinary action

The Lancet, Journal Year: 2023, Volume and Issue: 402(10405), P. 883 - 936

Published: Aug. 27, 2023

Language: Английский

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Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

Journal of Hypertension, Journal Year: 2023, Volume and Issue: 42(1), P. 23 - 49

Published: Sept. 12, 2023

Hypertension, defined as persistently elevated systolic blood pressure (SBP) >140 mmHg and/or diastolic (DBP) at least 90 (International Society of Hypertension guidelines), affects over 1.5 billion people worldwide. is associated with increased risk cardiovascular disease (CVD) events (e.g. coronary heart disease, failure and stroke) death. An international panel experts convened by the International College Experts compiled lifestyle management recommendations first-line strategy to prevent control hypertension in adulthood. We also recommend that changes be continued even when pressure-lowering medications are prescribed. Specific based on literature evidence summarized advice start these measures early life, including maintaining a healthy body weight, levels different types physical activity, eating drinking, avoidance cessation smoking alcohol use, stress sleep levels. discuss relevance specific approaches consumption sodium, potassium, sugar, fibre, coffee, tea, intermittent fasting well integrated strategies implement using, for example, behaviour change-related technologies digital tools.

Language: Английский

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Impact of air pollution on ischemic heart disease: Evidence, mechanisms, clinical perspectives

Atherosclerosis, Journal Year: 2023, Volume and Issue: 366, P. 22 - 31

Published: Jan. 20, 2023

Ambient air pollution, and especially particulate matter (PM) pollution <2.5 μm in diameter (PM2.5), has clearly emerged as an important yet often overlooked risk factor for atherosclerosis ischemic heart disease (IHD). In this review, we examine the available evidence demonstrating how acute chronic PM2.5 exposure clinically translates into a heightened coronary atherosclerotic burden increased of events. Moreover, provide insights pathophysiologic mechanisms underlying PM2.5-mediated atherosclerosis, focusing on specific biological mechanism through which exerts its detrimental effects. Further, discuss about possible that explain recent findings reporting strong association between severe respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, exposure, morbidity mortality from IHD. We also address mitigation strategies should be implemented to reduce impact cardiovascular mortality, underscoring need clinical trials efficacy interventions (including both reduction and/or drugs) reducing incidence Finally, introduce emerging concept exposome, highlighting close relationship other environmental exposures (i.e.: traffic noise climate change) terms common strategies.

Language: Английский

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Evaluation of the Accuracy of ChatGPT in Answering Clinical Questions on the Japanese Society of Hypertension Guidelines

Circulation Journal, Journal Year: 2023, Volume and Issue: 87(7), P. 1030 - 1033

Published: June 6, 2023

To assist healthcare providers in interpreting guidelines, clinical questions (CQ) are often included, but not always, which can make interpretation difficult for non-expert clinicians. We evaluated the ability of ChatGPT to accurately answer CQs on Japanese Society Hypertension Guidelines Management (JSH 2019).

Language: Английский

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Exposome in ischaemic heart disease: beyond traditional risk factors

European Heart Journal, Journal Year: 2024, Volume and Issue: 45(6), P. 419 - 438

Published: Jan. 18, 2024

Abstract Ischaemic heart disease represents the leading cause of morbidity and mortality, typically induced by detrimental effects risk factors on cardiovascular system. Although preventive interventions tackling conventional have helped to reduce incidence ischaemic disease, it remains a major death worldwide. Thus, attention is now shifting non-traditional in built, natural, social environments that collectively contribute substantially burden perpetuate residual risk. Of importance, these complex interact non-linearly unpredictable ways often enhance attributable single or collection factors. For this reason, new paradigm called ‘exposome’ has recently been introduced epidemiologists order define totality exposure The purpose review outline how emerging may occurrence with particular impact long-term different environmental pollutants, socioeconomic psychological factors, along infectious diseases such as influenza COVID-19. Moreover, potential mitigation strategies for both individuals communities will be discussed.

Language: Английский

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AIR QUALITY AND PUBLIC HEALTH: A REVIEW OF URBAN POLLUTION SOURCES AND MITIGATION MEASURES

Engineering Science & Technology Journal, Journal Year: 2024, Volume and Issue: 5(2), P. 259 - 271

Published: Feb. 2, 2024

Urbanization has led to unprecedented challenges in maintaining air quality, significantly impacting public health. This review delves into the diverse sources of urban pollution and explores effective mitigation measures safeguard well-being. The rising concentration pollutants areas, primarily attributed industrial activities, vehicular emissions, domestic energy consumption, poses a severe threat respiratory cardiovascular health populations. begins by examining key pollution, highlighting complex interplay between anthropogenic activities their cumulative impact on quality. Industrial characterized release particulate matter, volatile organic compounds, hazardous chemicals, contribute pollution. Likewise, surge traffic, fueled rapid urbanization, introduces such as nitrogen oxides carbon monoxide, further exacerbating problem. To address these challenges, spectrum measures. Implementation stringent emission standards for industries, adoption cleaner technologies, promotion renewable emerge critical strategies. Additionally, planning initiatives focusing efficient transportation systems, pedestrian-friendly infrastructure, green spaces are examined means reduce emissions enhance also underscores importance awareness campaigns community engagement fostering collective commitment quality improvement. Innovative technological solutions, monitoring networks real-time data analytics, discussed indispensable tools informed decision-making prompt intervention. synthesizes current knowledge measures, emphasizing urgent need multidimensional approach protect By comprehensively addressing intricate web contributors implementing proactive environments can be transformed healthier sustainable all residents. Keywords: Air Quality, Public Health, Urban Pollution, Mitigation, Review.

Language: Английский

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Higher Aircraft Noise Exposure Is Linked to Worse Heart Structure and Function by Cardiovascular MRI

Journal of the American College of Cardiology, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Aircraft noise is a growing concern for communities living near airports. This study aimed to explore the impact of aircraft on heart structure and function. Nighttime levels (Lnight) weighted 24-hour day-evening-night (Lden) were provided by UK Civil Aviation Authority 2011. Health data came from Biobank (UKB) participants 4 major airports (London Heathrow, London Gatwick, Manchester, Birmingham) who had cardiovascular magnetic resonance (CMR) imaging starting 2014 self-reported no hearing difficulties. Generalized linear models investigated associations between exposure CMR metrics (derived using validated convolutional neural network ensure consistent image segmentations), after adjustment demographic, socioeconomic, lifestyle, environmental confounders. Mediation risk factors was also explored. Downstream adverse cardiac events (MACE) tested in separate prospective UKB subcohort (n = 21,360), understand potential clinical any noise-associated remodeling. Of 3,635 included, 3% experienced higher Lnight (≥45 dB) 8% Lden (≥50 dB). Participants exposed 7% (95% CI: 4%-10%) greater left ventricular (LV) mass 4% 2%-5%) thicker LV walls with normal septal-to-lateral wall thickness ratio. concentric remodeling relevant because associates 32% MACE. They worse myocardial dynamics (eg, an [95% 4%-12%] lower global circumferential strain which 27% MACE). Overall, hypothetical individual experiencing typical abnormalities associated may have times Findings clearest but broadly similar analyses Lden. Body index hypertension appeared mediate 10% 50% observed associations. did not move home during follow-up continuously worst phenotype. Higher remodeling, potentially due increasing obesity hypertension. are existing literature disease, need be considered policymakers aviation industry.

Language: Английский

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