Malhi Jasmine K, McEvoy John W, Blumenthal Roger S, Jacobsen Alan P
Ciccarone Center for the Prevention of Cardiovascular Disease, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
University of Galway and National Institute for Prevention and Cardiovascular Health, Galway, Ireland.
Am Heart J Plus. 2024 Aug 14;45:100443. doi: 10.1016/j.ahjo.2024.100443. eCollection 2024 Sep.
Climate change is a public health crisis predominantly due to fossil fuel combustion, that challenges planetary and human health. Considerable evidence exists to demonstrate the impact climate change has on cardiovascular disease primarily through air pollution, and non-optimal temperature. Conversely, healthcare systems themselves contribute substantially to climate change. Many clinicians personally report a sense of responsibility to reduce the detrimental impact of parts of our healthcare system on the environment. Roadmaps exist to guide decarbonization and reduce pollution in the healthcare sector. The first step in minimizing the climate impact of the provision of cardiovascular care is to determine the carbon footprint of highly resource dependent sectors such as critical care cardiology as well as the cardiac catheterization and electrophysiology laboratories. This should be followed by sustainable changes to address healthcare waste and energy use. Engagement from healthcare leadership, governmental organizations and major cardiac societies will be necessary to impact meaningful change.
气候变化是一场主要由化石燃料燃烧引发的公共卫生危机，它对地球和人类健康构成了挑战。有大量证据表明，气候变化主要通过空气污染和非适宜温度对心血管疾病产生影响。相反，医疗保健系统本身也对气候变化有很大贡献。许多临床医生个人表示有责任减少我们医疗保健系统的某些部分对环境的不利影响。已有路线图来指导医疗保健部门的脱碳和减少污染。将心血管护理的气候影响降至最低的第一步是确定高度依赖资源的部门的碳足迹，如重症心脏病学以及心脏导管插入术和电生理实验室。接下来应该进行可持续变革，以解决医疗保健废物和能源使用问题。医疗保健领导层、政府组织和主要心脏学会的参与对于实现有意义的变革将是必要的。
