Challenges posed by climate hazards to cardiovascular health and cardiac intensive care: implications for mitigation and adaptation

作者：Thomas Muenzel, Haitham Khraishah, Alexandra Schneider, Jos Lelieveld, Andreas Daiber, Sanjay Rajagopalan · 发表于：European Heart Journal Acute Cardiovascular Care · 年份：2024 · DOI：10.1093/ehjacc/zuae113 · 被引用次数：29 · 研究领域：Climate Change and Health Impacts、Thermoregulation and physiological responses、Air Quality and Health Impacts

Global warming, driven by increased greenhouse gas emissions, has led to unprecedented extreme weather events, contributing to higher morbidity and mortality rates from a variety of health conditions, including cardiovascular disease (CVD). The disruption of multiple planetary boundaries has increased the probability of connected, cascading, and catastrophic disasters with magnified health impacts on vulnerable populations. While the impact of climate change can be manifold, non-optimal air temperatures (NOTs) pose significant health risks from cardiovascular events. Vulnerable populations, especially those with pre-existing CVD, face increased risks of acute cardiovascular events during NOT. Factors such as age, socio-economic status, minority populations, and environmental conditions (especially air pollution) amplify these risks. With rising global surface temperatures, the frequency and intensity of heatwaves and cold spells are expected to increase, emphasizing the need to address their health impacts. The World Health Organization recommends implementing heat-health action plans, which include early warning systems, public education on recognizing heat-related symptoms, and guidelines for adjusting medications during heatwaves. Additionally, intensive care units must be prepared to handle increased patient loads and the specific challenges posed by extreme heat. Comprehensive and proactive adaptation and mitigation strategies with health as a primary consideration and m...