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Cited by 363

The DOI matches its Crossref record; 91 of the 91 references it cites were found in a registry or an index.

Cardiovascular response to thermoregulatory challenges

Open access
Liu, Cuiqing, Yavar, Zubin, Sun, Qinghua·2015·American Journal of Physiology-Heart and Circulatory Physiology

Abstract

A growing number of extreme climate events are occurring in the setting of ongoing climate change, with an increase in both the intensity and frequency. It has been shown that ambient temperature challenges have a direct and highly varied impact on cardiovascular health. With a rapidly growing amount of literature on this issue, we aim to review the recent publications regarding the impact of cold and heat on human populations with regard to cardiovascular disease (CVD) mortality/morbidity while also examining lag effects, vulnerable subgroups, and relevant mechanisms. Although the relative risk of morbidity/mortality associated with extreme temperature varied greatly across different studies, both cold and hot temperatures were associated with a positive mean excess of cardiovascular deaths or hospital admissions. Cause-specific study of CVD morbidity/mortality indicated that the sensitivity to temperature was disease-specific, with different patterns for acute and chronic ischemic heart disease. Vulnerability to temperature-related mortality was associated with some characteristics of the populations, including sex, age, location, socioeconomic condition, and comorbidities such as cardiac diseases, kidney diseases, diabetes, and hypertension. Temperature-induced damage is thought to be related to enhanced sympathetic reactivity followed by activation of the sympathetic nervous system, renin-angiotensin system, as well as dehydration and a systemic inflammatory response. Future research should focus on multidisciplinary adaptation strategies that incorporate epidemiology, climatology, indoor/building environments, energy usage, labor legislative perfection, and human thermal comfort models. Studies on the underlying mechanism by which temperature challenge induces pathophysiological response and CVD await profound and lasting investigation.

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Crossref · 10.1152/ajpheart.00199.2015

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Metadata

Authors
Liu, C., Yavar, Z., & Sun, Q.
Venue
American Journal of Physiology-Heart and Circulatory Physiology
Published
2015-12-01
Volume
309
Issue
11
Pages
H1793-H1812
ISSN
  • 0363-6135 (ISSN-L)
  • 1522-1539
OpenAlex
W2181358502
Cited by
363
References
91
FWCI
6.13
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Cardiovascular response to thermoregulatory challenges. https://app.cochat.ai/papers/10.1152/ajpheart.00199.2015
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Liu, C., Yavar, Z., & Sun, Q. (2015). Cardiovascular response to thermoregulatory challenges. American Journal of Physiology-Heart and Circulatory Physiology. https://doi.org/10.1152/ajpheart.00199.2015

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.