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气候变化与心血管疾病:谁是易感人群?

Climate Change and Cardiovascular Disease: Who Is Vulnerable?

作者信息

Khraishah Haitham, Ostergard Robert L, Nabi Syed R, De Alwis Donald, Alahmad Barrak

机构信息

Department of Medicine, Harrington Heart and Vascular Institute (H.K.), University Hospitals at Case Western Reserve University, Cleveland, OH.

Department of Political Science, University of Nevada, Reno (R.L.O.).

出版信息

Arterioscler Thromb Vasc Biol. 2025 Jan;45(1):23-36. doi: 10.1161/ATVBAHA.124.318681. Epub 2024 Nov 26.

Abstract

Climate change involves a shift in earth's climate indicators over extended periods of time due to human activity. Anthropogenic air pollution has resulted in trapping heat, contributing to global warming, which contributes to worsening air pollution through facilitating oxidizing of air constituents. It is becoming more evident that the effects of climate change, such as air pollution and ambient temperatures, are interconnected with each other and other environmental factors. While the relationship between climate change components and cardiovascular disease is well documented in the literature, their interaction with one another along with individuals' biological and social risk factors is yet to be elucidated. In this review, we summarize that pathophysiological mechanisms by ambient temperatures directly affect cardiovascular health and describe the most vulnerable subgroups, defined by age, sex, race, and socioeconomic factors. Finally, we provide guidance on the importance of integrating climate, environmental, social, and health data into common platforms to inform researchers and policies.

摘要

气候变化是指由于人类活动导致地球气候指标在较长时期内发生变化。人为空气污染导致热量被困,加剧全球变暖,而全球变暖又通过促进空气成分的氧化作用加剧空气污染。越来越明显的是,气候变化的影响,如空气污染和环境温度,彼此之间以及与其他环境因素相互关联。虽然气候变化各要素与心血管疾病之间的关系在文献中有充分记载,但它们之间的相互作用以及个体的生物和社会风险因素仍有待阐明。在本综述中,我们总结了环境温度直接影响心血管健康的病理生理机制,并描述了按年龄、性别、种族和社会经济因素定义的最脆弱亚组。最后,我们就将气候、环境、社会和健康数据整合到通用平台以指导研究人员和政策制定的重要性提供指导。

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