Global Health Asia-Pacific September 2020 September 2020 | Page 24

Heart News Exercise beats air pollution It outweighs the negative effects of pollution on blood pressure Regular exercise keeps blood pressure down even if you do it in relatively polluted areas, according to research published in the journal Circulation. With air pollution increasing the risk of high blood pressure and more than 91 percent of the global population living in areas whose air quality is not up to World Health Organization (WHO) standards, many people may be faced with the conundrum of what’s best for their health. “Extended outdoor activity in urban areas increases the intake of air pollutants, which can worsen the harmful health effects of air pollution,� said study author �iang �ian �ao, an associate professor at the �ockey Club School of Public Health and Primary Care at The Chinese University of Hong Kong, in a press release. “While we found that high physical activity combined with lower air pollution exposure was linked to lower risk of high blood pressure, physical activity continued to have a protective effect even when people were exposed to high pollution levels. The message is that physical activity, even in polluted air, is an important high blood pressure prevention strategy.” He added, however, that the study also highlighted the strong detrimental impact of pollution on blood pressure and the importance of minimising exposure to it to protect heart health. Researchers analysed data from more than 140,000 adults in Taiwan, where ambient air is moderately contaminated with pollutants, and cautioned the study results couldn’t be applied to populations living in more polluted areas. COVID-19 shown to damage the heart It could contribute to future cardiac problems even in people who’ve recovered from the infection The damage caused by the novel coronavirus still raging across the world could have lasting detrimental effects on the heart’s muscles, two different studies have shown. In one analysis, the magnetic resonance imaging (MRI) of 100 patients who recovered from COVID-19 was compared to the cardiac images of similar people without the infection. Months later those who got the infection were more likely to have some heart damage in the form of structural changes, in�ammation, or injury typically caused by a heart attack. All the patients were healthy before coming down with COVID-19, Dr Valentina Puntmann, study author and a cardiologist at University Hospital Frankfurt, told STAT. In another study, researchers analysed the hearts of 39 patients infected with COVID-19 who died during the pandemic and found 24 of them had high levels of coronavirus, which in some cases were associated with in�ammation. It’s still unclear whether this type of damage can resolve or is permanent in patients who survive the coronavirus. “These are two studies that both suggest that being infected with Covid-19 carries a high likelihood of having some involvement of the heart. If not answering questions, [they] prompt important questions about what the cardiac aftermath is,” Dr Matthew Tomey, a cardiologist and assistant professor of medicine at the Icahn School of Medicine at Mount Sinai Health System in New York, told STAT. 22 SEPTEMBER-OCTOBER 2020 GlobalHealthAsiaPacific.com