Cardiovascular disease in low- and middle-income countries associated with environmental factors

Author:

Sliwa Karen12ORCID,Viljoen Charle André32ORCID,Stewart Simon45ORCID,Miller Mark R6ORCID,Prabhakaran Dorairaj7ORCID,Kumar Raman Krishna8,Thienemann Friedrich39ORCID,Piniero Daniel10,Prabhakaran Poornima11,Narula Jagat12,Pinto Fausto13ORCID

Affiliation:

1. Cape Heart Institute, Chris Barnard Building, University of Cape Town, Faculty of Health Sciences, Cnr Anzio Road and Falmouth Road, 7925, Observatory, Cape Town , South Africa

2. Division of Cardiology, Department of Medicine, Groote Schuur Hospital , Main Road, 7925, Observatory, Cape Town , South Africa

3. Cape Heart Institute, Chris Barnard Building, University of Cape Town, Faculty of Health Sciences , Cnr Anzio Road and Falmouth Road, 7925, Observatory, Cape Town , South Africa

4. Institute for Health Research, University of Notre Dame Australia , 32 Mouat St, Fremantle, Western Australia, 6160 , Australia

5. Eduardo Mondlane University , 3435 Avenida Julius Nyerere, Maputo , Mozambique

6. Centre for Cardiovascular Science, University of Edinburgh, Queens Medical Research Institute , 47 Little France Crescent, Edinburgh, EH4 3RL , UK

7. Centre for Chronic Disease Control, C1/52, Safdarjung Development Area , New Delhi, 110016 , India

8. ediatric Cardiology, Amrita Institute of Medical Sciences and Research Centre Department of P , Ponekkara PO, Cochin 682041, Kerala , India

9. Department of Internal Medicine, University Hospital Zurich, University of Zurich , 100 Rämistrasse, 8091 Zurich , Switzerland

10. Facultad de Medicina, Universidad de Buenos Aires , Arenales 2463, Buenos Aires, C1124AAN, Argentina

11. Centre for Chronic Disease Control, C1/52 , Safdarjung Development Area, New Delhi, 110016 , India

12. Department of Cardiology, McGovern Medical School, University of Texas Health , 7000 Fannin St, Houston, TX 77030 , USA

13. Department of Cardiology, Faculty of Medicine, University of Lisbon, Av. Prof. Egas Moniz, 1649-028 , Lisboa , Portugal

Abstract

Abstract There is a growing recognition that the profound environmental changes that have occurred over the past century pose threats to human health. Many of these environmental factors, including air pollution, noise pollution, as well as exposure to metals such as arsenic, cadmium, lead, and other metals, are particularly detrimental to the cardiovascular health of people living in low-to-middle income countries (LMICs). Low-to-middle income countries are likely to be disproportionally burdened by cardiovascular diseases provoked by environmental factors. Moreover, they have the least capacity to address the core drivers and consequences of this phenomenon. This review summarizes the impact of environmental factors such as climate change, air pollution, and metal exposure on the cardiovascular system, and how these specifically affect people living in LMICs. It also outlines how behaviour changes and interventions that reduce environmental pollution would have significant effects on the cardiovascular health of those from LMICs, and globally.

Funder

Cape Heart Institute

University of Cape Town

South African Medical Research Council

Hippocrate Foundation

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Epidemiology

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