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미세먼지/황사 건강피해 예방 및 권고 지침: 심혈관질환

Other Titles
 Guidelines for the prevention and management of cardiovascular disease assoiated with fine dust/Asian dust exposure 
 김인수  ;  장지용  ;  김태훈  ;  박준범  ;  심재민  ;  김진배  ;  변영섭  ;  성정훈  ;  윤영원  ;  김종윤  ;  조양제  ;  김창수  ;  정보영 
 Journal of the Korean Medical Association (대한의사협회지), Vol.58(11) : 1044-1059, 2015 
Journal Title
 Journal of the Korean Medical Association (대한의사협회지) 
Issue Date
Air pollution ; Particulate matter ; Yellow dust ; Cardiovascular diseases
Epidemiological studies have demonstrated an increased risk for cardiovascular events in relation to both short- and long-term exposure to ambient particulate matter (PM). Several plausible mechanistic pathways have been described, including an enhanced propensity for arrhythmias, systemic inflammatory responses, and the chronic promotion of atherosclerosis. On the basis of this review, several new findings were reached, including the following: exposure to PM including PM <2.5 μm in diameter can trigger cardiovascular disease-related mortality; longer-term exposure (e.g., a few years) increases the risk for cardiovascular mortality; reductions in PM levels are associated with decreases in cardiovascular mortality within a period as short as a few years; and many credible pathological mechanisms have been elucidated that lend biological plausibility to these findings. It is the opinion of the writing group that the overall evidence is consistent with a causal relationship between PM exposure and cardiovascular morbidity and mortality. Finally, PM exposure is deemed a modifiable factor that contributes to cardiovascular morbidity and mortality. The purpose of this statement is to develop evidence-based practical guidelines for healthcare professionals and regulatory agencies with a comprehensive review of the literature on air pollution and cardiovascular disease and a specific focus on the clinical implications.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
김인수(Kim, In-Soo) ORCID logo https://orcid.org/0000-0003-2801-5514
김종윤(Kim, Jong Youn) ORCID logo https://orcid.org/0000-0001-7040-8771
김창수(Kim, Chang Soo) ORCID logo https://orcid.org/0000-0002-5940-5649
김태훈(Kim, Tae-Hoon) ORCID logo https://orcid.org/0000-0003-4200-3456
윤영원(Yoon, Young Won) ORCID logo https://orcid.org/0000-0002-0907-0350
장지용(Jang Ji Yong)
정보영(Joung, Bo Young) ORCID logo https://orcid.org/0000-0001-9036-7225
조양제(Cho, Yang Je)
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