Caldeira Daniel, Franco Fátima, Bravo Baptista Sérgio, Cabral Sofia, Cachulo Maria do Carmo, Dores Hélder, Peixeiro António, Rodrigues Rui, Santos Mário, Timóteo Ana Teresa, Vasconcelos João, Gonçalves Lino
Sociedade Portuguesa de Cardiologia, Lisboa, Portugal; Serviço de Cardiologia, Hospital Universitário de Santa Maria - CHULN, Portugal; Cardiovascular Pharmacology and Therapeutics Unit, Centro Cardiovascular da Universidade de Lisboa (CCUL@RISE), CAML, Faculdade de Medicina, Universidade de Lisboa, Portugal; Laboratory of Clinical Pharmacology and Therapeutics, Faculdade de Medicina da Universidade de Lisboa, Portugal.
Sociedade Portuguesa de Cardiologia, Lisboa, Portugal; Unidade Tratamento IC Avançada (UTICA), Serviço de Cardiologia, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal.
Rev Port Cardiol. 2022 Aug;41(8):709-717. doi: 10.1016/j.repc.2022.05.006. Epub 2022 Jul 12.
Air pollution is one of the main environmental risk factors for health and is linked to cardiovascular diseases, which are the leading cause of mortality worldwide. In this position paper, we discuss the main air pollutants and how they can promote the development of cardiovascular disease or cardiovascular events. We also summarise the main evidence supporting the association between air pollution and cardiovascular events, such as coronary events (acute coronary syndromes/myocardial infarction; chronic coronary syndromes), stroke, heart failure and mortality. Some recommendations are made based on these data and the European Society of Cardiology guidelines on cardiovascular disease prevention, acknowledging that it is important to increase awareness and literacy on this topic in Portugal.
空气污染是主要的健康环境风险因素之一，与心血管疾病相关，而心血管疾病是全球死亡的主要原因。在本立场文件中，我们讨论了主要的空气污染物以及它们如何促进心血管疾病或心血管事件的发生发展。我们还总结了支持空气污染与心血管事件之间关联的主要证据，如冠状动脉事件（急性冠状动脉综合征/心肌梗死；慢性冠状动脉综合征）、中风、心力衰竭和死亡率。基于这些数据以及欧洲心脏病学会心血管疾病预防指南提出了一些建议，同时认识到在葡萄牙提高对该主题的认识和知识水平很重要。
