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Air Pollution Hikes Stroke Risk

The type of stroke that results when a stroke, which is caused by bleeding in
blood clot travels to the brain -- called the brain, during the same "high
an ischemic stroke -- is more likely to pollution" days, notes Wellenius, but
occur on days when the air contains a found no association between the
larger concentration of particulate two.Reducing Exposure May Lower RiskThe
matter, according to a study published air pollution in question -- particulate
online in Stroke: Journal of the American matter smaller than 10 micrometers in
Heart Association.Researchers at Beth diameter -- includes particles from car
Israel Deaconess Medical Center (BIDMC) and truck exhaust, power plants and
and the Harvard School of Public Health refineries. The measurements were
(HSPH) examined air quality on a total of provided by the US Environmental
37,000 days in nine cities. Risk of Protection Agency from nine US cities:
hospitalization for ischemic stroke was 1 Birmingham, Ala., Chicago, New Haven,
percent higher on days with relatively Conn., Cleveland, Detroit, Minneapolis,
high levels of air pollution, compared Pittsburgh, Salt Lake City and
with low-air pollution days, reports lead Seattle.The authors analyzed hospital
author Gregory Wellenius, ScD, admissions among a group of Medicare
postdoctoral fellow in cardiology at patients with an average age of 79.
BIDMC.Third Cause of Death in US"Although Seventy-five percent of the patients were
these effects sound relatively small," white, and 61 percent were female. Their
says Wellenius, "given the large number findings showed that during the course of
of people exposed to air pollution and their study, there were 155,503 hospital
the large number of people at risk for admissions for ischemic stroke.The final
stroke ... the actual number of strokes analysis demonstrated a 1.03 percent rise
could be significant."Stroke is the third in ischemic stroke on the days with the
leading cause of death in the US, highest pollution measures."We don't know
affecting more than 700,000 individuals exactly what mechanisms are involved that
each year.A "consistent increased risk" trigger these cardiac events," says
for cardiac health problems associated Wellenius. "However, we do know that
with exposure to ambient air particles particulates in the air promote
was established in earlier research by inflammation, which is a significant risk
Wellenius and coauthors Murray Mittleman, factor for cardiac events; that exposure
MD, DrPH, of BIDMC's Cardiovascular to particulates can lead to changes in
Epidemiology Research Unit and Joel heart rate and blood pressure; and that
Schwartz, PhD, of HSPH."Air pollution has pollution can cause changes in coaguable
been shown to trigger heart attacks and states (related to blood clotting
to aggravate the conditions of patients abilities)."The authors say that future
with congestive heart failure," says research will focus on finding out which
Mittleman, who is also an associate pollutants are most toxic, as well as
professor of medicine at Harvard Medical which patients are at greatest risk for
School."These new findings, demonstrating health problems stemming from air
that incidence of clot-based strokes also pollution."Taken together with previous
increase, [are] in keeping with our work, these latest results support the
earlier data showing a relationship idea that reducing exposure to
between air pollution and heart and lung particulate matter may reduce the risk of
disorders," he notes.The researchers also strokes and heart attacks," they
looked at the incidence of hemorrhagic conclude.




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