To assess the separate impacts of air and noise pollution and residential green exposure on coronary obstruction and myocardial ischemia.
Key Findings:
20% of patients had obstructive coronary artery disease (OCAD); 11% had abnormal fractional flow reserve (FFRCT).
Proximity to airport correlated with higher OCAD risk, significantly influenced by cardiovascular and socio-economic factors.
Distance to major road decreased abnormal FFRCT risk in high-risk patients, indicating a statistically significant association.
Interpretation:
No strong environmental associations with coronary obstruction or ischemia were found in the overall population; however, proximity to environmental stressors influenced cardiovascular risk factors, warranting further investigation.
Limitations:
Study limited to a single tertiary hospital's registry, which may not represent broader populations.
Potential confounding factors, such as lifestyle and genetic predispositions, were not fully accounted for.
Conclusion:
Further investigation is warranted to explore the complex relationships between environmental exposures and coronary health, particularly in high-risk populations, to inform public health strategies.
by Tom De Potter, Andreea Motoc, Els Verachtert, Hans Hooyberghs, Kaoru Tanaka, Dries Belsack, Diederik De Cock, Frans Fierens, Toshimitsu Tsugu, Tim Nawrot, Marc Claeys, Bernard Cosyns, Jean-François Argacha
