Palabras clave
Contaminación del Aire
Efectos de la Contaminación del Aire
Revisión Sistemática
Electrofisiología Cardíaca
Salud Cardiovascular
Cómo citar
Resumen
Introducción: Los niveles de contaminación del aire tienen impactos negativos sobre la salud cardiovascular. Objetivo: Sintetizar la evidencia científica de los últimos 5 años de la asociación de los niveles de contaminación con la aparición de arritmias cardiacas. Metodología: Se realizó una búsqueda de la literatura en las bases de datos Science Direct, EBSCO HOST, Doaj, Latindex, Pubmed, Redalyc, Scielo y Biblioteca Virtual en Salud. Para la selección de los artículos se tuvo en cuenta la mnemotecnia PICO (población, intervención, comparativo y resultados). La calidad científica fue evaluada con la herramienta Critical Appraisal Skills Programme español CASPe. La síntesis y el análisis se llevó a cabo con el uso de la herramienta office Excel. Resultados: Se seleccionaron 25 artículos primarios. Se establecieron cuatro categorías para su comprensión: efectos arrítmicos de los niveles contaminantes, cambios fisiopatológicos, población vulnerable y medidas de prevención. Conclusión: La exposición a partículas contaminantes del aire tienen una asociación significativa con cambios electrocardiográficos y las arritmias cardiacas.
Citas
1. Naciones Unidas. La contaminación atmosférica causó 8,1 millones de muertes en todo el mundo en 2021. [Internet] [consultado 22 de junio de 2024] Available from: https://news.un.org/es/story/2024/06/1530631
2. Organización Panamericana de la Salud. Calidad del aire. [Internet] [consultado 22 de julio de 2024] Available from: https://www.paho.org/es/temas/calidad-aire
3. Restrepo JPU, Martínez MLO, Garzón EM. Décimo Informe Técnico Especial Carga de Enfermedad Ambiental. Instituto Nacional de Salud. 2018; 10:174. Available from: https://www.ins.gov.co/Noticias/Paginas/Informe-Carga-de-Enfermedad-Ambiental-en-Colombia.aspx
4. OMS. Contaminación del aire ambiente (exterior) y salud. 2021 [Internet] [consultado 24 de junio de 2024] Available from: https://www.who.int/es/news-room/fact-sheets/detail/ambient-(outdoor)-air-quality-and-health
5. Jacobsen AP, Khiew YC, Duffy E, O’Connell J, Brown E, Auwaerter PG, et al. Climate change and the prevention of cardiovascular disease. Am J Prev Cardiol. 2022; 12:100391. doi: https://doi.org/10.1016/j.ajpc.2022.100391
6. Grisales H, Piñeros JG, Nieto E, Porras S, Montealegre N, González D, et al. Local attributable burden disease to PM2.5 ambient air pollution in Medellín, Colombia, 2010–2016. 2021; 10:428. doi: https://doi.org/10.12688/f1000research.52025.2
7. Zheng C, Tang H, Wang X, Chen Z, Zhang L, Kang Y, et al. Left ventricular diastolic dysfunction and cardiovascular disease in different ambient air pollution conditions: A prospective cohort study. Sci Total Environ. 2022; 831:154872. doi: https://doi.org/10.1016/j.scitotenv.2022.154872
8. Liu J, Hansen A, Zhang Y, Driscoll T, Morgan G, Bi P, et al. Heat exposure and cardiovascular health outcomes: a systematic review and meta-analysis. Lancet Planet Health. 2022; 6(6): e484-e495. doi: https://doi.org/10.1016/S2542-5196(22)00117-6
9. Vallabani NVS, Gruzieva O, Elihn K, Juárez AT, Steimer SS, Kuhn J, et al. Toxicity and health effects of ultrafine particles: Towards an understanding of the relative impacts of different transport modes. Environ Res. 2023; 231(2): 116186. doi: https://doi.org/10.1016/j.envres.2023.116186
10. Organización Mundial de la Salud. Las nuevas Directrices mundiales de la OMS sobre la calidad del aire [Internet] [consultado 24 de junio de 2024]. Available from: https://www.who.int/es/news/item/22-09-2021-new-who-global-air-quality-guidelines-aim-to-save-millions-of-lives-from-air-pollution
11. Organización Mundial de la Salud. Directrices mundiales de la OMS sobre la calidad del aire [Internet] [consultado 24 de junio de 2024] Available from: https://www.who.int/es/news-room/questions-and-answers/item/who-global-air-quality-guidelines
12. Münzel T, Sørensen M, & Daiber, A. transportation noise and cardiovascular disease. Nat Rev Cardiol. 2021; 18(9): 619-636. doi: https://doi.org/10.1038/s41569-021-00532-5
13. Sagheer U, Al-Kindi S, Abohashem S, Phillips CT, Rana JS, Bhatnagar A, et al. Environmental Pollution and Cardiovascular Disease: Part 1 of 2: Air Pollution. JACC Adv. 2024; 3(2): 100805. doi: https://doi.org/10.1016/j.jacadv.2023.100805
14. Sagheer U, Al-Kindi S, Abohashem S, Phillips CT, Rana JS, Bhatnagar A, et al. Environmental Pollution and Cardiovascular Disease: Part 2 of 2: Soil, Water, and Other Forms of Pollution. JACC Adv. 2024; 3(2): 100815. doi: https://doi.org/10.1016/j.jacadv.2023.100815
15. Gariazzo C, Renzi M, Marinaccio A, Michelozzi P, Massari S, Silibello C, et al. Association between short-term exposure to air pollutants and cause-specific daily mortality in Italy. A nationwide analysis. Environ Res. 2023; 216(3): 114676. doi: https://doi.org/10.1016/j.envres.2022.114676
16. Newman JD, Bhatt DL, Rajagopalan S, Balmes JR, Brauer M, Breysse PN, et al. Cardiopulmonary Impact of Particulate Air Pollution in High-Risk Populations: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020; 76(24): 2878-94. doi: https://doi.org/10.1016/j.jacc.2020.10.020
17. Miller MR. Oxidative stress and the cardiovascular effects of air pollution. Free Radic Biol Med. 2020; 15(1): 69-87. doi: https://doi.org/10.1016/j.freeradbiomed.2020.01.004
18. Chuang KJ, Lin LY, Ho KF, Su CT. Traffic-related PM2.5 exposure and its cardiovascular effects among healthy commuters in Taipei, Taiwan. Atmospheric Environ X. 2020; 7. doi: https://doi.org/10.1016/j.aeaoa.2020.100084
19. Avellaneda C, Vivanco RM, Olmos S, Lazcano U, Valentin A, Milà C, et al. Air pollution and surrounding greenness in relation to ischemic stroke: A population-based cohort study. Environ Int. 2022; 161: 107147. doi: https://doi.org/10.1016/j.envint.2022.107147
20. Patel L, Friedman E, Johannes SA, Lee SS, O’Brien HG, Schear SE. Air pollution as a social and structural determinant of health. J Clim Change Health. 2021; 3. doi: https://doi.org/10.1016/j.joclim.2021.100035
21. Ho AFW, Ho JSY, Tan BY, Saffari SE, Yeo JW, Sia CH, et al. Air quality and the risk of out-of-hospital cardiac arrest in Singapore (PAROS): a time series analysis. Lancet Public Health. 2022; 7(11): e932-e941. doi: https://doi.org/10.1016/S2468-2667(22)00234-1
22. Centeno M, Chacón G, Vega JA, Gonzalez A, Leitón J. Revisión sistemática de literatura. Rev Tecnol En Marcha. 2021; (1): 60-9. doi: https://doi.org/10.18845/tm.v34i2.4982
23. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021; 10(1): 89. doi: https://doi.org/10.1186/s13643-021-01626-4.
24. Martínez JD, Ortega V, Muñoz FJ. El diseño de preguntas clínicas en la práctica basada en la evidencia. Modelos de formulación. Enfermería Global 15.3 (2016): 431-438. doi: https://doi.org/10.6018/eglobal.15.3.239221
25. RedCASPe. Programa de Habilidades en Lectura Crítica Español [Internet] [consultado 28 de mayo de 2022] Available from: https://redcaspe.org/
26. Han X, Cao M, Pan Z, Guo J, Huang D, Sun W, et al. Association between long-term exposure to PM2.5 constituents and electrocardiographic abnormality: A nationwide longitudinal study in China. Environ Int. 2023; 178: 108130. doi: https://doi.org/10.1016/j.envint.2023.108130
27. Cao H, Li B, Peng W, Pan L, Cui Z, Zhao W, et al. Associations of long-term exposure to ambient air pollution with cardiac conduction abnormalities in Chinese adults: The CHCN-BTH cohort study. Environ Int. 2020; 143: 105981. doi: https://doi.org/10.1016/j.envint.2020.105981
28. He F, Shaffer ML, Rodriguez S, Yanosky JD, Bixler E, Cascio WE, et al. Acute effects of fine particulate air pollution on cardiac arrhythmia: The APACR study. Environ Health Perspect. 2011; 119(7): 927-32. doi: https://doi.org/10.1289/ehp.1002640
29. Yang M, Zhou R, Qiu X, Feng X, Sun J, Wang Q, et al. Artificial intelligence-assisted analysis on the association between exposure to ambient fine particulate matter and incidence of arrhythmias in outpatients of Shanghai community hospitals. Environ Int. 2020; 139: 105745. doi: https://doi.org/10.1016/j.envint.2020.105745
30. Pan Z, Han X, Cao M, Guo J, Huang D, Sun W, et al. Short-term exposure to ozone and ECG abnormalities in China: A nationwide longitudinal study. J Hazard Mater. 2023; 459: 132290. doi: https://doi.org/10.1016/j.jhazmat.2023.132290
31. Peralta AA, Schwartz J, Gold DR, Coull B, Koutrakis P. Associations between acute and long-term exposure to PM 2.5components and temperature with QT interval length in the VA Normative Aging Study. Eur J Prev Cardiol. 2021; 28(14): 1610-1617. doi: https://doi.org/10.1093/eurjpc/zwaa161
32. Halldorsdottir S, Finnbjornsdottir RG, Elvarsson BT, Gudmundsson G, Rafnsson V. Ambient nitrogen dioxide is associated with emergency hospital visits for atrial fibrillation: a population-based case-crossover study in Reykjavik, Iceland. Environ Health. diciembre de 2022; 21(1): 2. doi: https://doi.org/10.1186/s12940-021-00817-9
33. Wang M, Chen J, Zhang Z, Yu P, Gan W, Tan Z, et al. Associations between air pollution and outpatient visits for arrhythmia in Hangzhou, China. BMC Public Health. 2020; 20(1): 1524. doi: https://doi.org/10.1186/s12889-020-09628-y
34. Wu JH, Wu Y, Wang ZJ, Tian YH, Wu YQ, Wu T, et al. Ambient Particulate Matter Pollution and Hospital Visits for Cardiac Arrhythmia in Beijing, China. Biomed Environ Sci. 1 de julio de 2021; 34(7): 562-566. doi: https://doi.org/10.3967/bes2021.077
35. Feng B, Song X, Dan M, Yu J, Wang Q, Shu M, et al. High level of source-specific particulate matter air pollution associated with cardiac arrhythmias. Sci Total Environ. 2019; 657: 1285-1293. doi: https://doi.org/10.1016/j.scitotenv.2018.12.178
36. Liu L, Zhu Y, Xu H, Wang Y, Wang T, Zhao Q, et al. Short-term exposure to ambient ozone associated with cardiac arrhythmias in healthy adults. Glob Health J. 2022; 6(1): 6-18. doi: https://doi.org/10.1016/j.glohj.2022.01.002
37. Andersen ZJ, Cramer J, Jørgensen JT, Dehlendorff C, Amini H, Mehta A, et al. Long-term exposure to road traffic noise and air pollution, and incident atrial fibrillation in the Danish nurse cohort. Environ Health Perspect. 2021; 129(8): 87002. doi: https://doi.org/10.1289/EHP8090
38. Ma Y, Su B, Li D, Cui F, Tang L, Wang J, et al. Air pollution, genetic susceptibility, and the risk of atrial fibrillation: A large prospective cohort study. Proc Natl Acad Sci U S A. 2023; 120(32): e2302708120. doi: https://doi.org/10.1073/pnas.2302708120
39. Shin S, Burnett RT, Kwong JC, Hystad P, Van Donkelaar A, Brook JR, et al. Ambient Air Pollution and the Risk of Atrial Fibrillation and Stroke: A Population-Based Cohort Study. Environ Health Perspect. 2019; 127(8): 087009. doi: https://doi.org/10.1289/EHP4883
40. Gallo E, Folino F, Buja G, Zanotto G, Bottigliengo D, Comoretto R, et al. Daily exposure to air pollution particulate matter is associated with atrial fibrillation in high-risk patients. Int J Environ Res Public Health. 2020; 17(17): 6017. doi: https://doi.org/10.3390/ijerph17176017
41. Dahlquist M, Frykman V, Stafoggia M, Qvarnström E, Wellenius GA, Ljungman PLS. Short-term ambient air pollution exposure and risk of atrial fibrillation in patients with intracardiac devices. Environ Epidemiol. 2022; 6(4): e215. doi: https://doi.org/10.1097/EE9.0000000000000215
42. Hart JE, Hohensee C, Laden F, Holland I, Whitsel EA, Wellenius GA, et al. Long-term exposures to air pollution and the risk of atrial fibrillation in the women’s health initiative cohort. Environ Health Perspect. 2021; 129(9): 97007. doi: https://doi.org/10.1289/EHP7683
43. Han J, Zhang R, Guo J, Zheng Q, Chen X, Wu S, et al. The association between air pollution and the daily hospital visits for atrial fibrillation recorded by ECG: a case-crossover study. Eur J Med Res. 2023; 28(1) :201. doi: https://doi.org/10.1186/s40001-023-01170-y
44. Dahlquist M, Frykman V, Kemp K, Svennberg E, Wellenius GA, Ljungman P. Short-term associations between ambient air pollution and acute atrial fibrillation episodes. Environ Int. agosto de 2020; 141: 105765. doi: https://doi.org/10.1016/j.envint.2020.105765
45. Xue X, Hu J, Xiang D, Li H, Jiang Y, Fang W, et al. Hourly air pollution exposure and the onset of symptomatic arrhythmia: an individual-level case–crossover study in 322 Chinese cities. Can Med Assoc J. 2023; 195(17): E601-E611. doi: https://doi.org/10.1503/cmaj.220929
46. Zhang Z, Kang J, Hong YS, Chang Y, Ryu S, Park J, et al. Long-term particulate matter exposure and incidence of arrhythmias: A cohort study. J Am Heart Assoc. 2020; 9(22): e016885. doi: https://doi.org/10.1161/JAHA.120.016885
47. Liu C, Tai M, Hu J, Zhu X, Wang W, Guo Y, et al. Application of smart devices in investigating the effects of air pollution on atrial fibrillation onset. Npj Digit Med. 2023; 6(1). doi: https://doi.org/10.1038/s41746-023-00788-w
48. Huang C, Tang M, Li H, Wen J, Wang C, Gao Y, et al. Particulate matter air pollution and reduced heart rate variability: How the associations vary by particle size in Shanghai, China. Ecotoxicol Environ Saf. 2021; 208: 111726. doi: https://doi.org/10.1016/j.ecoenv.2020.111726
49. Sun W, Han X, Cao M, Pan Z, Guo J, Huang D, et al. Middle-term nitrogen dioxide exposure and electrocardiogram abnormalities: A nationwide longitudinal study. Ecotoxicol Environ Saf. 2023; 266: 115562. doi: https://doi.org/10.1016/j.ecoenv.2023.115562
50. Yue C, Yang F, Li F, Chen Y. Association between air pollutants and atrial fibrillation in general population: A systematic review and meta-analysis. Ecotoxicol Environ Saf. 2021; 208: 111508. doi: https://doi.org/10.1016/j.ecoenv.2020.111508
51. Pallikadavath S, Vali Z, Patel R, Mavilakandy A, Peckham N, Clegg M, et al. The Influence of Environmental Air Pollution on Ventricular Arrhythmias: A Scoping Review. Curr Cardiol Rev. 2022; 18(6): e160422203685. doi: https://doi.org/10.2174/1573403X18666220416203716
52. Mohammad AS, Mohammad AA, Mohammadreza T, Isa K. Air Pollution and Cardiac Arrhythmias: A Comprehensive Review. Current Problems in Cardiology. 2021 Mar; 46(3): 100649. doi: https://doi.org/10.1016/j.cpcardiol.2020.100649
53. Palacio LC, Durango G, Zapata C, Santa GA, Uribe D, Saiz J, et al. Characterization of airborne particulate matter and its toxic and proarrhythmic effects: A case study in Aburrá Valley, Colombia. Environ Pollut. 2023; 336: 122475. doi: https://doi.org/10.1016/j.envpol.2023.122475
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Derechos de autor 2025 Diana Marcela Castillo-Sierra, Alejandro Olaya-Sánchez, Alba Yaneth Ramos-Alvarez, Javier Mauricio Sánchez-Rodríguez