“…This pathological hypertrophy of the heart was associated in-vivo with reduced aerobic capacity. In model simulating CO exposure at level found in cigarette smoke (200 ppm for 14 consecutive days), the use of LU135252, a selective inhibitor of type A endothelin (ET-1) receptors (ET A ), in drinking water, markedly prevents right ventricular hypertrophy but not left ventricular, suggesting then a role of ET-1 in the right ventricle and/or in the pulmonary circulation during CO exposure (Loennechen et al, 2002). In another model, closer to urban area pollution, Andre et al reported that 4 weeks of CO exposure at low levels (30-100 ppm 12 hours/day) in healthy rats, promotes heart arrhythmias, even in absence of CO in the environment.…”