CVD risk factors

Physical- and chemical risks in the environment. 

Severe cold and heat impose stresses on the cardiovascular system of the elderly. 

Seasonal variation of both coronary and cerebrovascular mortality show peaks during extremes of both cold and heat. 

Blood pressure rises during the cold season, and acute exposures to cold are known to precipitate anginal attacks, ischaemic electrocardiographic changes and arrhythmias. 

The elderly and patients with cardiovascular disease are particularly sensitive to cold weather, when they prefer to stay indoors and remain sedentary. 

For prevention, warm housing and clothing are required and also heated premises for physical activity when this is not advisable outdoors. 

However, adequately heated housing does not by itself abolish the seasonal variation in mortality.

Among chemical exposures that are harmful to the elderly, air pollution by smog is of major importance, the mortality being particularly high among elderly persons with pre-existing chronic cardiopulmonary disease. 

Another recognized hazard is carbon monoxide emitted, for example, by defective heating installations.

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There are many risk factors for CVD - one of them is described above.

Comment: don't get much cold, don't get much pollution in Pioppi!

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