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WHF、ACC、AHA、ESC四大国际心血管学术组织发布联合声明,呼吁采取紧急行动减少空气污染及暴露以改善心血管健康

2021-01-31 心关注 心关注

空气污染是心血管疾病的关键危险因素,也是全球疾病负担的主要因素。长期暴露于空气污染中也与新型冠状病毒肺炎(COVID-19)死亡风险增加有关。

空气污染是血管疾病的关键危险因素,也是全球疾病负担的主要因素。长期暴露于空气污染中也与新型冠状病毒肺炎(COVID-19)死亡风险增加有关。空气污染、COVID-19和心血管疾病对人类来说“三重威胁”,应该认真对待。

近日,世界心脏联盟(WHF)、美国心脏病学会(ACC)、美国心脏协会(AHA)和欧洲心脏病学会(ESC)四大国际心血管学术组织发表了一项联合声明,呼吁医学界和卫生当局采取结构化行动,减少空气污染物的排放、减少暴露,以改善心血管健康。该声明同步发表在JACC、Circulation、European Heart Journal和Global Heart。

美国印第安纳大学医学院心脏病学研究所教授、ACC前任主席、该联合声明的资深作者Sally Russell教授指出,临床医生有责任教育他们的患者、同事,让他们了解空气污染和心血管疾病风险之间的联系。通过倡导将空气污染视为一种健康危险因素,与患者合作以减少暴露和相关风险,并将空气污染纳入更广泛的疾病管理方法,卫生保健界可以为更大规模的污染物减排工作提供支持。

英国哥伦比亚大学人口与公共卫生学院、华盛顿大学卫生计量与评估研究所教授兼世界心脏联合会空气污染专家组主席Michael Brauer表示,即使在COVID-19大流行之前,由于对人们的健康的影响,空气污染也是一个日益受到关注的问题,尽管它经常被忽视为心血管疾病的风险因素。COVID-19带来了一个新的致命因素,现在卫生界是时候呼吁并采取行动了!

该联合声明的行动要求包括:

倡导将减少空气污染作为一项健康举措,并进一步研究空气质量及其对心血管疾病的影响,以及减少空气污染及其对非传染性疾病影响的有效干预措施;

参与制定空气污染和心血管疾病指南;

支持环保、能源与交通运输部门的减排工作;

与各国、地区和全球政府机构的高级决策者合作,将空气污染相关的心血管防治列为优先事项。

德国爱尔兰根大学心脏病学专家兼ESC主席Stephan Achenbach教授强调,空气污染是引起心脏病和卒中的最被低估的原因之一,迫切需要进行更多的研究以确定易感人群,并确定改善空气质量以促进心血管健康的最佳方法。空气污染必须被视为预防和管理心血管疾病的一个主要可改变的危险因素,迫切需要采取措施减少其对心血管健康短期和长期的有害影响,甚至可能是几代人的影响。

原始出处:

Michael Brauer, Barbara Casadei, Robert A Harrington, et al.Taking a Stand Against Air Pollution-The Impact on Cardiovascular Disease: A Joint Opinion From the World Heart Federation, American College of Cardiology, American Heart Association, and the European Society of Cardiology.Circulation. 2021 Jan 28;CIRCULATIONAHA120052666. doi: 10.1161/CIRCULATIONAHA.120.052666.

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    2021-02-02 zhaohui6731
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