Heavy Metal Exposure and Cardiovascular Disease

Circ Res. 2024 Apr 26;134(9):1160-1178. doi: 10.1161/CIRCRESAHA.123.323617. Epub 2024 Apr 25.

Abstract

Heavy metals are harmful environmental pollutants that have attracted widespread attention due to their health hazards to human cardiovascular disease. Heavy metals, including lead, cadmium, mercury, arsenic, and chromium, are found in various sources such as air, water, soil, food, and industrial products. Recent research strongly suggests a connection between cardiovascular disease and exposure to toxic heavy metals. Epidemiological, basic, and clinical studies have revealed that heavy metals can promote the production of reactive oxygen species, which can then exacerbate reactive oxygen species generation and induce inflammation, resulting in endothelial dysfunction, lipid metabolism distribution, disruption of ion homeostasis, and epigenetic changes. Over time, heavy metal exposure eventually results in an increased risk of hypertension, arrhythmia, and atherosclerosis. Strengthening public health prevention and the application of chelation or antioxidants, such as vitamins and beta-carotene, along with minerals, such as selenium and zinc, can diminish the burden of cardiovascular disease attributable to metal exposure.

Keywords: arrhythmia; cardiovascular diseases; chelation therapy; metals, heavy; models, theoretical.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Antioxidants
  • Cardiovascular Diseases* / chemically induced
  • Cardiovascular Diseases* / epidemiology
  • Environmental Exposure* / adverse effects
  • Environmental Pollutants / adverse effects
  • Environmental Pollutants / toxicity
  • Humans
  • Metals, Heavy* / adverse effects
  • Metals, Heavy* / toxicity
  • Oxidative Stress / drug effects
  • Reactive Oxygen Species / metabolism

Substances

  • Metals, Heavy
  • Environmental Pollutants
  • Reactive Oxygen Species
  • Antioxidants