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), CEMBE, 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; Hospital da Luz, Lisbon, Portugal; NOVA Medical School, Lisbon, Portugal.
Rev Port Cardiol. 2023 Dec;42(12):1017-1024. doi: 10.1016/j.repc.2023.02.002. Epub 2023 Feb 8.
Global warming is a result of the increased emission of greenhouse gases. The consequences of this climate change threaten society, biodiversity, food and resource availability. The consequences include an increased risk of cardiovascular (CV) disease and cardiovascular mortality. In this position paper, we summarize the data from the main studies that assess the risks of a temperature increase or heat waves in CV events (CV mortality, myocardial infarction, heart failure, stroke, and CV hospitalizations), as well as the data concerning air pollution as an enhancer of temperature-related CV risks. The data currently support global warming/heat waves (extreme temperatures) as cardiovascular threats. Achieving neutrality in emissions to prevent global warming is essential and it is likely to have an effect in the global health, including the cardiovascular health. Simultaneously, urgent steps are required to adapt the society and individuals to this new climatic context that is potentially harmful for cardiovascular health. Multidisciplinary teams should plan and intervene healthcare related to temperature changes and heat waves and advocate for a change in environmental health policy.
全球变暖是温室气体排放增加的结果。这种气候变化的后果威胁着社会、生物多样性、食物和资源的可获得性。其后果包括心血管疾病和心血管死亡率的风险增加。在这份立场文件中，我们总结了主要研究中评估温度升高或热浪对心血管事件（心血管死亡率、心肌梗死、心力衰竭、中风和心血管住院）风险的数据，以及有关空气污染作为与温度相关的心血管风险增强剂的数据。目前的数据支持全球变暖/热浪（极端温度）是心血管威胁。实现排放的中立以防止全球变暖是至关重要的，这很可能会对包括心血管健康在内的全球健康产生影响。同时，需要采取紧急措施使社会和个人适应这种可能对心血管健康有害的新气候环境。多学科团队应该计划和干预与温度变化和热浪有关的医疗保健，并倡导改变环境卫生政策。
