Department of Cardiology, Antwerp University Hospital, Wilrijkstraat 10, B-2650 Edegem, Belgium.
University of Maryland Heart Center, Baltimore, MD, USA.
Eur Heart J. 2017 Apr 1;38(13):955-960. doi: 10.1093/eurheartj/ehw151.
Over the past few decades, a growing body of epidemiological and clinical evidence has led to heightened concerns about the potential short- and long-term deleterious effects of the environment on cardiovascular health, including the risk for acute myocardial infarction (AMI). This review highlights the increased risk of AMI caused by exposure to air pollution and cold temperatures. These factors should be considered modifiable risk factors in the prevention of cardiovascular disease. The current body of knowledge about the biological mechanisms linking environmental changes to atherothrombotic events and the impact of climate change on cardiovascular health are discussed. Finally, recommendations for prevention and public policy are presented.
在过去的几十年中,越来越多的流行病学和临床证据引起了人们对环境对心血管健康(包括急性心肌梗死(AMI)风险)的潜在短期和长期有害影响的关注。本综述强调了暴露于空气污染和低温对 AMI 风险的增加。这些因素应被视为心血管疾病预防中的可改变的危险因素。本文讨论了将环境变化与动脉血栓形成事件联系起来的生物学机制以及气候变化对心血管健康的影响的现有知识。最后提出了预防和公共政策建议。