http://www.sciencedaily.com/releases/2010/05/100510161244.htm
ScienceDaily (May 11, 2010) — The scientific evidence linking air pollution to heart attacks, strokes and cardiovascular death has "substantially strengthened," and people, particularly those at high cardiovascular risk, should limit their exposure, according to an updated American Heart Association scientific statement.
The evidence is strongest for fine particulate matter (PM2.5) having a causal relationship to cardiovascular disease, said the expert panel of authors who updated the association's 2004 initial statement on air pollution, also published in Circulation: Journal of the American Heart Association.
The major source of PM2.5 is fossil fuel combustion from industry, traffic, and power generation. Biomass burning, heating, cooking, indoor activities and forest fires may also be relevant sources, particularly in certain regions.
"Particulate matter appears to directly increase risk by triggering events in susceptible individuals within hours to days of an increased level of exposure, even among those who otherwise may have been healthy for years," said Robert D. Brook, M.D., lead author of the statement, which was written after review of epidemiological, molecular and toxicological studies published during the past six years.
"Growing evidence also shows that longer-term PM2.5 exposures, such as over a few years, can lead to an even larger increase in these health risks. In this context, the American Heart Association said that PM2.5 should be recognized as a 'modifiable factor' that contributes to cardiovascular morbidity and mortality."
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