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Air Pollution and Cardiovascular Disease

Robert D. BrookBarry A. FranklinAmerican Heart Association, Public Information, 7272 Greenville Ave, Dallas, TXWayne E. CascioAmerican Heart Association, Public Information, 7272 Greenville Ave, Dallas, TXYuling HongAmerican Heart Association, Public Information, 7272 Greenville Ave, Dallas, TXGeorge HowardAmerican Heart Association, Public Information, 7272 Greenville Ave, Dallas, TXMichael LipsettAmerican Heart Association, Public Information, 7272 Greenville Ave, Dallas, TXRussell V. LuepkerMurray A. MittlemanAmerican Heart Association, Public Information, 7272 Greenville Ave, Dallas, TXJonathan M. SametAmerican Heart Association, Public Information, 7272 Greenville Ave, Dallas, TXSidney C. SmithAmerican Heart Association, Public Information, 7272 Greenville Ave, Dallas, TXIra B. TagerAmerican Heart Association, Public Information, 7272 Greenville Ave, Dallas, TX
2004en
ABI

Аннотация

Air pollution is a heterogeneous, complex mixture of gases, liquids, and particulate matter. Epidemiological studies have demonstrated a consistent increased risk for cardiovascular events in relation to both short- and long-term exposure to present-day concentrations of ambient particulate matter. Several plausible mechanistic pathways have been described, including enhanced coagulation/thrombosis, a propensity for arrhythmias, acute arterial vasoconstriction, systemic inflammatory responses, and the chronic promotion of atherosclerosis. The purpose of this statement is to provide healthcare professionals and regulatory agencies with a comprehensive review of the literature on air pollution and cardiovascular disease. In addition, the implications of these findings in relation to public health and regulatory policies are addressed. Practical recommendations for healthcare providers and their patients are outlined. In the final section, suggestions for future research are made to address a number of remaining scientific questions.

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