Ambient Air Pollution and Stroke: An Updated Review.

Humans Particulate Matter / adverse effects Air Pollution / adverse effects Air Pollutants / adverse effects Stroke / etiology Risk Factors Environmental Exposure / adverse effects Nitrogen Dioxide / analysis
air pollution lung nitric oxide nitrogen dioxide particulate matter smoke stroke

Journal

Stroke
ISSN: 1524-4628
Titre abrégé: Stroke
Pays: United States
ID NLM: 0235266

Informations de publication

Date de publication:
03 2023
Historique:
pmc-release: 01 03 2024
pubmed: 30 12 2022
medline: 3 3 2023
entrez: 29 12 2022
Statut: ppublish

Résumé

Despite recent advances in treatment and prevention, stroke remains a leading cause of morbidity and mortality. There is a critical need to identify novel modifiable risk factors for disease, including environmental agents. A body of evidence has accumulated suggesting that elevated levels of ambient air pollutants may not only trigger cerebrovascular events in susceptible people (short-term exposures) but also increase the risk of future events (long-term average exposures). This review assesses the updated evidence for both short and long-term exposure to ambient air pollution as a risk factor for stroke incidence and outcomes. It discusses the potential pathophysiologic mechanisms and makes recommendations to mitigate exposure on a personal and community level. The evidence indicates that reduction in air pollutant concentrations represent a significant population-level opportunity to reduce risk of cerebrovascular disease.

Identifiants

DOI: 10.1161/STROKEAHA.122.035498 PMID: 36579640 PMC: PMC10421613
pubmed: 36579640
doi: 10.1161/STROKEAHA.122.035498
pmc: PMC10421613
mid: NIHMS1849171
doi:

Substances chimiques

Particulate Matter 0
Air Pollutants 0
Nitrogen Dioxide S7G510RUBH

Types de publication

Journal Article Review Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

882-893

Subventions

Organisme : NIEHS NIH HHS
ID : K23 ES030725
Pays : United States
Organisme : NIEHS NIH HHS
ID : P30 ES007033
Pays : United States

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Auteurs

Erin R Kulick (ER)

Department of Epidemiology and Biostatistics, Temple University College of Public Health, Philadelphia, PA (E.R.K.).
ORCID: 0000-0001-8650-5357

Joel D Kaufman (JD)

Department of Medicine, University of Washington, Seattle (J.D.K., C.S.).
Department of Environmental and Occupational Health Sciences, University of Washington, Seattle (J.D.K., C.S.).
Department of Epidemiology, University of Washington, Seattle (J.D.K.).
ORCID: 0000-0003-4174-9037

Coralynn Sack (C)

Department of Medicine, University of Washington, Seattle (J.D.K., C.S.).
Department of Environmental and Occupational Health Sciences, University of Washington, Seattle (J.D.K., C.S.).

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