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A Narrative Review on the Impact of Air Pollution on Heart Failure Risk and Exacerbation

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Air pollution is a risk factor for many cardiovascular diseases, including heart failure (HF). Although the links between air pollution and HF have been explored, the results are scattered and difficult to piece together into a cohesive story. Therefore, we undertook a narrative review of all aspects of the relationship between HF and air pollution exposure, including risks of developing HF when exposed to air pollution, the exacerbation of HF symptoms by air pollution exposure, and the increased susceptibility that individuals with HF have for air pollutione related health risks. We also examined the literature on environmental justice as well as air pollution interventions for HF. We found substantial evidence linking air pollution exposure to HF incidence. There were a limited number of studies that examined air pollution exposure in clearly defined populations with HF to explore exacerbation of HF or the susceptibility of individuals with HF to air pollution health risks

Impact/Purpose

This article describes the role of air pollution in the development and exacerbation of heart failure. It importantly also considers the literature indicating that individuals with heart failure may have elevated air pollution health risks relative to other individuals and the role of environmental justice in air quality risks related to heart failure.

Citation

Ward-Caviness, C. AND W. Cascio. A Narrative Review on the Impact of Air Pollution on Heart Failure Risk and Exacerbation. Elsevier B.V., Amsterdam, NETHERLANDS, 39(9):1244-1252, (2023). [DOI: 10.1016/j.cjca.2023.06.423]

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DOI: A Narrative Review on the Impact of Air Pollution on Heart Failure Risk and Exacerbation
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Last updated on March 13, 2025
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