Introduction. Cardiovascular disease is the first cause of morbidity and mortality worldwide. Among several known risk
factors, researchers also focus their attention on the chronic exposure to air pollution. There is much evidence that exposure
to air pollution, especially to ultrafine particles, can damage the endothelium and can favour cardiovascular diseases in
the general population. Occupational exposition could be an additive risk factor for the cardiovascular system. This article
presents a scientific review of the linkage between occupational exposure to air pollution and ischemic heart disease.
Materials and method. A scientific review was undertaken, followed by PRISMA Statements. Observational studies were
selected from several scientific databases, likesuch as Pubmed, Google Scholar, Nioshtic-2 and Reserchgate, searching
for selected key words: police workers, professional drivers, mail carriers, filling station attendants, road cleaners, garage
workers, motor vehicles and engine maintenance. All the key words were combined with “Boolean Operators” with the
following words: cardiovascular (or cardiac) disease, cardiovascular function, cardiovascular system, ischemic heart disease,
coronary disease, myocardial infarction. During the systematic research, the focus was on retrospective and prospective
studies from January 1990 – December 2014.
Results. Both the retrospective and prospective studies showed an increased risk of ischemic heart disease in occupationally
occupied people exposed to air pollution. Only one study presented a ly minor risk.
Conclusions. The findings of this systematic review suggest a possible linkage between occupational exposure to urban
air pollution, especially to motor exhaust and particulate, and ischemic heart disease.
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