Department of Environmental Health, Harvard TH Chan School of Public Health, 665 Huntington Avenue, Building 1, Room 1301, Boston, MA, 02115, USA.
Harvard Kenneth C. Griffin Graduate School of Arts and Sciences, Cambridge, MA, USA.
Curr Environ Health Rep. 2023 Dec;10(4):490-500. doi: 10.1007/s40572-023-00414-7. Epub 2023 Oct 17.
Environmental exposures have been associated with increased risk of cardiovascular mortality and acute coronary events, but their relationship with out-of-hospital cardiac arrest (OHCA) and sudden cardiac death (SCD) remains unclear. SCD is an important contributor to the global burden of cardiovascular disease worldwide.
Current literature suggests a relationship between environmental exposures and cardiovascular disease, but their relationship with OHCA/SCD remains unclear. A literature search was conducted in PubMed, Embase, Web of Science, and Global Health. Of 5138 studies identified by our literature search, this review included 30 studies on air pollution, 42 studies on temperature, 6 studies on both air pollution and temperature, and 1 study on altitude exposure and OHCA/SCD. Particulate matter air pollution, ozone, and both hot and cold temperatures are associated with increased risk of OHCA/SCD. Pollution and other exposures related to climate change play an important role in OHCA/SCD incidence.
环境暴露与心血管死亡率和急性冠状动脉事件的风险增加有关,但它们与院外心脏骤停(OHCA)和心源性猝死(SCD)的关系尚不清楚。SCD 是全球心血管疾病负担的一个重要因素。
目前的文献表明环境暴露与心血管疾病之间存在关联,但它们与 OHCA/SCD 的关系仍不清楚。在 PubMed、Embase、Web of Science 和 Global Health 中进行了文献检索。通过我们的文献检索,共确定了 5138 项研究,本综述纳入了 30 项关于空气污染的研究、42 项关于温度的研究、6 项关于空气污染和温度的研究以及 1 项关于海拔暴露与 OHCA/SCD 的研究。空气颗粒物污染、臭氧以及高温和低温都与 OHCA/SCD 的风险增加有关。与气候变化有关的污染和其他暴露因素在 OHCA/SCD 的发病中起着重要作用。