Global warming could mean more heart problems, doctors warn

 

The Associated Press         Wednesday, September 5, 2007

VIENNA, Austria: Global warming may be forcing polar bears southward and melting glaciers, but it could also have an impact on your heart.

Doctors warn that the warmer weather expected with climate change might also produce more heart problems.

"If it really is a few degrees warmer in the next 50 years, we could definitely have more cardiovascular disease," said Dr. Karin Schenck-Gustafsson, of the department of cardiology at Sweden's Karolinska Institute.

On the sidelines of the European Society of Cardiology's annual meeting in Vienna this week, some experts said that the issue deserved more attention. It's well-known that people have more heart problems when it's hot.  During the European heat wave in 2003, there were an estimated 35,000 deaths above expected levels in the first two weeks of August. In France alone, nearly 15,000 extra people died when temperatures soared. Experts say that much of that was due to heart problems in the elderly worsened by the extreme heat.

The hardening of the heart's arteries is like rust developing on a car. "Rust develops much more quickly at warm temperatures, and so does atherosclerosis," said Dr. Gordon Tomaselli, chief of cardiology at Johns Hopkins University and program chair at the American Heart Association.

In higher temperatures, we sweat to get rid of heat. During that process, blood is sent to the skin where temperatures are cooler, which opens up the blood vessels. In turn, the heart rate rises and blood pressure drops. That combination can be dangerous for older people and those with weakened cardiovascular systems.

Extreme events like the recent devastating fires in Greece may complicate the problem. The increasing number of forest fires that have swept through Southeast Asia in the last decade have also brought a spike in heart disease, experts say.  But because there are so many scientific uncertainties about climate change, like how fast it will occur, or what other factors such as pollution levels or natural phenomena might affect it, doctors are unsure what exactly to prescribe.

Unlike modeling future disease outbreaks, where we know most of the risk factors that spread diseases, there are too many unknowns involved in connecting global warming and heart disease to make predictions about how many more people will have heart problems in the future.  Other factors may also make climate change more dangerous, like the fact that the majority of the world's population are expected to live in cities in the future. With concrete skyscrapers, fewer trees and pollution spewed out by factories and cars, cities are at least a few degrees hotter than surrounding rural areas.

Doctors also suspect that pollution, which is expected to get worse with climate change, contributes to heart disease. They think that when the lungs are irritated by tiny airborne contaminants, that could set off another bad reaction in the heart.

"A lot of cardiovascular risk could be avoided by targeting the urban heat effect," said Diarmid Campbell-Lendrum, a climate change expert at the World Health Organization. Though Campbell-Lendrum said that some European countries have put heat warning systems into place to alert people when they might be at particular risk, more needs to be done.

Still, higher temperatures won't be bad news for everyone. "Skiers aren't going to like it, but warmer weather could encourage some people to exercise more and actually improve their health," said Dr. John Cleland, a heart failure specialist at the University of Hull in the United Kingdom.  The human body is not designed to handle extreme heat for long periods of time; mechanisms like sweating are only effective as a temporary fix. But that could change if our environment becomes radically different. Some experts speculate that humans might even develop some kind of biological way to better tolerate heat.

"The problem is that this process of evolutionary adaptation for humans takes not decades, but tens of thousands of years," said Dr. Claudio Ceconi, a cardiologist at the University of Ferrara and spokesman for the European Society of Cardiology. "We unfortunately won't be able to evolve quickly enough to keep up."

In the meantime, Cleland said that we should focus on things we can control, like diet and fitness. "We should think more about going outside for a bicycle ride even when it's not bright and sunny," he said.

Investing in ways to reduce our carbon footprint will also help. "Mankind needs to get creative," Cleland said, suggesting that massive reforestation projects would probably help.

"If we don't do something now and global warming accelerates, then cardiovascular disease might be the least of our worries."