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Cited by 452

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Environmental Cardiology: Studying Mechanistic Links Between Pollution and Heart Disease

Open access
Bhatnagar, Aruni·2006·Circulation Research

Abstract

Environmental factors are considered key determinants of cardiovascular disease. Although lifestyle choices such as smoking, diet, and exercise are viewed as major environmental influences, the contribution of pollutants and environmental chemicals is less clear. Accumulating evidence suggests that exposure to pollutants and chemicals could elevate the risk of cardiovascular disease. Many epidemiological studies report that exposure to fine particles present in ambient air is associated with an increase in cardiovascular mortality. Statistically significant relationships between particulate air pollution and ischemic heart disease, arrhythmias, and heart failure have been reported. Animal studies show that exposure to ambient air particles increases peripheral thrombosis and atherosclerotic lesion formation. Exposures to arsenic, lead, cadmium, pollutant gases, solvents, and pesticides have also been linked to increased incidence of cardiovascular disease. Mechanistically, these effects have been attributed to changes in the synthesis or reactivity of nitric oxide that may be caused by environmental oxidants or increased endogenous production of reactive oxygen species. Additional studies are urgently needed to: identify the contribution of individual pollutants to specific aspects of cardiovascular disease; establish causality; elucidate the underlying physiological and molecular mechanisms; estimate the relative susceptibility of diseased and healthy individuals and that of specific population groups; and determine whether pollutant exposure are risk correlates, that is, whether they influence major risk factors, such as hypertension, cholesterol, or diabetes, or whether they contribute to the absolute risk of heart disease. Collectively, these investigations could contribute to the emergent field of environmental cardiology.

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Metadata

Authors
Bhatnagar, A.
Venue
Circulation Research
Published
2006-09-29
Volume
99
Issue
7
Pages
692-705
ISSN
  • 0009-7330 (ISSN-L)
  • 1524-4571
OpenAlex
W2114328455
Cited by
452
References
10
FWCI
14.95
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Environmental Cardiology: Studying Mechanistic Links Between Pollution and Heart Disease. https://app.cochat.ai/papers/10.1161/01.res.0000243586.99701.cf
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Bhatnagar, A. (2006). Environmental Cardiology: Studying Mechanistic Links Between Pollution and Heart Disease. Circulation Research. https://doi.org/10.1161/01.res.0000243586.99701.cf

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

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