Air pollution and cardiovascular disease: JACC State-of-the-Art Review

Rajagopalan, S; Al-Kindi, SG; Brook, RD

HERO ID

5918647

Reference Type

Journal Article

Subtype

Review

Year

2018

Language

English

PMID

30336830

HERO ID 5918647
Material Type Review
In Press No
Year 2018
Title Air pollution and cardiovascular disease: JACC State-of-the-Art Review
Authors Rajagopalan, S; Al-Kindi, SG; Brook, RD
Journal Journal of the American College of Cardiology
Volume 72
Issue 17
Page Numbers 2054-2070
Abstract Fine particulate matter <2.5 μm (PM2.5) air pollution is the most important environmental risk factor contributing to global cardiovascular (CV) mortality and disability. Short-term elevations in PM2.5 increase the relative risk of acute CV events by 1% to 3% within a few days. Longer-term exposures over several years increase this risk by a larger magnitude (∼10%), which is partially attributable to the development of cardiometabolic conditions (e.g., hypertension and diabetes mellitus). As such, ambient PM2.5 poses a major threat to global public health. In this review, the authors provide an overview of air pollution and health, including assessment of exposure, impact on CV outcomes, mechanistic underpinnings, and impact of air pollution reduction strategies to mitigate CV risk. The review concludes with future challenges, including the inextricable link between air pollution and climate change, and calls for large-scale trials to allow the promulgation of formal evidence-based recommendations to lower air pollution-induced health risks.
Doi 10.1016/j.jacc.2018.07.099
Pmid 30336830
Wosid WOS:000447378100010
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword blood pressure; coronary artery disease; environment; insulin resistance; particulate matter; type 2 diabetes mellitus