Clearing the Air to Address Pollution's Cardiovascular Health Crisis.

Autor: Miller MR; Centre for Cardiovascular Science, University of Edinburgh, UK., Di Cesare M; Institute of Public Health and Wellbeing, University of Essex, Colchester, UK., Rahimzadeh S; Institute of Public Health and Wellbeing, University of Essex, Colchester, UK., Adeoye M; Institute of Public Health and Wellbeing, University of Essex, Colchester, UK., Perel P; Department of Non-Communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, UK.; World Heart Federation, Geneva, Switzerland., Taylor S; World Heart Federation, Geneva, Switzerland., Shrikhande S; World Heart Federation, Geneva, Switzerland., Armstrong-Walenczak K; World Heart Federation, Geneva, Switzerland., Shah ASV; Department of Non-Communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, UK., Berenstein CD; Director of 'Cardioecology and Healthy Habits'Council, Argentine Society of Cardiology, AR., Vedanthan R; Department of Population Health Institute for Excellence in Health Equity NYU Grossman School of Medicine New York, USA., Achiri EN; Institute of Medical Epidemiology, Biometry and Informatics, Martin Luther University, Halle Saale, Germany., Mehta S; Vital Strategies, New York, USA., Adeoye AM; Department of Medicine, University College Hospital, Ibadan, Nigeria., PiÑeiro D; Department of Medicine, University of Buenos Aires, Buenos Aires, Argentina., Pinto FJ; Santa Maria University Hospital, CAML, CCUL, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.
Jazyk: angličtina
Zdroj: Global heart [Glob Heart] 2024 Oct 30; Vol. 19 (1), pp. 82. Date of Electronic Publication: 2024 Oct 30 (Print Publication: 2024).
DOI: 10.5334/gh.1364
Abstrakt: Air pollution is a critical global health issue that significantly impacts cardiovascular health. The air pollutant PM 2.5 (particulate matter with a diameter of 2.5 micrometres or less) has been positioned as a leading environmental risk factor for morbidity and mortality, especially from cardiovascular diseases (CVDs). Using data from the World Health Organization (WHO), Global Health Observatory, and the United Nations Environment Programme, we explored global trends in air pollution, with a focus on PM 2.5 levels, the implications for cardiovascular health, and the policy measures aimed at reducing their impact. Despite progress in reducing pollution levels in high-income countries, global trends show a limited annual reduction in PM 2.5 concentration. The analysis highlights disparities between regions, with low- and middle-income countries bearing the brunt of air pollution-related CVDs. In 2019 alone, ambient air pollution was responsible for approximately 4.2 million deaths worldwide. Of these, 70% were caused by CVDs, with approximately 1.9 million deaths from ischemic heart disease and 900,000 deaths from stroke. Policy gaps remain a challenge, with many countries lacking adequate legally binding air quality standards. We recommend the adoption of WHO air quality guidelines, enhanced monitoring of air pollution levels, and increased investment in interdisciplinary research to understand the full scope of air pollution's effects on cardiovascular health. Addressing the global cardiovascular crisis linked to air pollution will require coordinated efforts from policymakers, healthcare systems, and global health organisations.
Competing Interests: The authors have no competing interests to declare.
(Copyright: © 2024 The Author(s).)
Databáze: MEDLINE