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Biomass fuel smoke exposure was associated with adverse cardiac remodeling and left ventricular dysfunction in Peru

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dc.contributor.author Burroughs Pena, M. S.
dc.contributor.author Velazquez, E. J.
dc.contributor.author Rivera, J. D.
dc.contributor.author Alenezi, F.
dc.contributor.author Wong, C.
dc.contributor.author Grigsby, M.
dc.contributor.author Davila-Roman, V. G.
dc.contributor.author Gilman, R. H.
dc.contributor.author Miranda, J. J.
dc.contributor.author Checkley, W.
dc.date.accessioned 2019-01-25T15:02:19Z
dc.date.available 2019-01-25T15:02:19Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/4612
dc.description.abstract While household air pollution from biomass fuel combustion has been linked to cardiovascular disease, the effects on cardiac structure and function have not been well described. We sought to determine the association between biomass fuel smoke exposure and cardiac structure and function by transthoracic echocardiography. We identified a random sample of urban and rural residents living in the high-altitude region of Puno, Peru. Daily biomass fuel use was self-reported. Participants underwent transthoracic echocardiography. Multivariable linear regression was used to examine the relationship of biomass fuel use with echocardiographic measures of cardiac structure and function, adjusting for age, sex, height, body mass index, diabetes, physical activity, and tobacco use. One hundred and eighty-seven participants (80 biomass fuel users and 107 non-users) were included in this analysis (mean age 59 years, 58% women). After adjustment, daily exposure to biomass fuel smoke was associated with increased left ventricular internal diastolic diameter (P=.004), left atrial diameter (P=.03), left atrial area (four-chamber) (P=.004) and (two-chamber) (P=.03), septal E' (P=.006), and lateral E' (P=.04). Exposure to biomass fuel smoke was also associated with worse global longitudinal strain in the two-chamber view (P=.01). Daily biomass fuel use was associated with increased left ventricular size and decreased left ventricular systolic function by global longitudinal strain. en_US
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartof urn:issn:1600-0668
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Aged en_US
dc.subject Middle Aged en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Longitudinal Studies en_US
dc.subject Biomass en_US
dc.subject Linear Models en_US
dc.subject Smoking en_US
dc.subject Echocardiography, Doppler en_US
dc.subject Peru en_US
dc.subject Latin America en_US
dc.subject biomass fuel en_US
dc.subject cardiac function en_US
dc.subject cardiology en_US
dc.subject echocardiography en_US
dc.subject Air Pollution, Indoor/adverse effects en_US
dc.subject Heart Atria/physiopathology en_US
dc.subject Heart Ventricles/physiopathology en_US
dc.subject Heart/physiopathology en_US
dc.subject Smoke/adverse effects en_US
dc.subject Ventricular Dysfunction, Left/chemically induced en_US
dc.title Biomass fuel smoke exposure was associated with adverse cardiac remodeling and left ventricular dysfunction in Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1111/ina.12362
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#2.01.03
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05


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