2019
DOI: 10.7831/ras.7.0_68
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Heavy metals as environmental risk factors for cardiovascular diseases: from the perspective of the renin angiotensin aldosterone system and oxidative stress

Abstract: Cardiovascular diseases (CVDs) are a group of disorders of the heart and blood vessels. CVDs were responsible for approximately 31% of all global deaths in 2016, and 85% of all CVD deaths are due to heart attack and stroke. The underlying process in the blood vessels that results in heart attack and stroke is atherosclerosis. A recent study indicated that exposure to environmental toxic heavy metals is associated with an increased risk of CVDs. In this review, we focus on several heavy metals as environmental … Show more

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Cited by 8 publications
(10 citation statements)
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“…A notable finding of this study was that the positive associations between urinary Cd concentrations and SBP / DBP in Nepal and negative associations in Bangladesh; these differed from the overall trend found in our analyses of all countries. Positive associations between urinary Cd concentrations and blood pressure have frequently been reported in the previous studies [ 20 , 21 , 23 , 24 ]; Cd-induced nephrotoxicity [ 8 10 ] and/or endothelial damage [ 12 ] were proposed as explanations. By contrast, the negative associations, as observed in Bangladesh, have also been found, but in far fewer studies [ 26 , 27 ].…”
Section: Discussionmentioning
confidence: 90%
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“…A notable finding of this study was that the positive associations between urinary Cd concentrations and SBP / DBP in Nepal and negative associations in Bangladesh; these differed from the overall trend found in our analyses of all countries. Positive associations between urinary Cd concentrations and blood pressure have frequently been reported in the previous studies [ 20 , 21 , 23 , 24 ]; Cd-induced nephrotoxicity [ 8 10 ] and/or endothelial damage [ 12 ] were proposed as explanations. By contrast, the negative associations, as observed in Bangladesh, have also been found, but in far fewer studies [ 26 , 27 ].…”
Section: Discussionmentioning
confidence: 90%
“…Increased cardiac output and vasoconstriction are possible effects of Pb exposure [ 11 ]. Upon absorption into the human body, Pb can damage endothelial cells by promoting inflammation and/or oxidative stress [ 11 , 12 , 60 , 61 ]. Lead can influence the activity of endothelial nitric oxide synthase in blood vessels, thereby suppressing vascular relaxation [ 11 , 62 ].…”
Section: Discussionmentioning
confidence: 99%
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“…However, too much can be bad, and these can also be replaced by heavier metals with a similar valence configuration. Cadmium, as one example, can replace iron and copper within cell structures and create oxidative stress (Akther et al, 2019). Several metals that are common pollutants (including arsenic, lead, cadmium, and copper) are associated with an increased risk of cardiovascular disease (CVD) and coronary heart disease (Chowdury et al, 2018).…”
Section: Literature Reviewmentioning
confidence: 99%
“…Metals can impair the ability of antioxidant enzymes to scavenge reactive oxygen species (ROS), which are basically cellular waste products. Metals can also subvert function of the renin-angiotensin-aldosterone system so that control of vasoconstriction and dilation itself creates oxidation and damage to endothelium (Akther et al, 2019). The role of iron in the renin-angiotensin-aldosterone system has been linked to both diabetic kidney disease and CVD (Chowdury et al, 2018).…”
Section: Literature Reviewmentioning
confidence: 99%