Low-Dose Occupational Exposure to Ionizing Radiation and Cardiovascular Effects: A Narrative Review

Historically, non-cancer diseases have not been considered a health risk following low-dose exposure to ionizing radiation. However, it is now well known that high-dose ionizing radiation causes cardiovascular disease, and emerging epidemiological evidence suggests an excess risk of non-cancer disea...

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Veröffentlicht in:Healthcare (Basel) 2024-01, Vol.12 (2), p.238
Hauptverfasser: Manenti, Guglielmo, Coppeta, Luca, Kirev, Ivan Valentinov, Verno, Greta, Garaci, Francesco, Magrini, Andrea, Floris, Roberto
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container_start_page 238
container_title Healthcare (Basel)
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creator Manenti, Guglielmo
Coppeta, Luca
Kirev, Ivan Valentinov
Verno, Greta
Garaci, Francesco
Magrini, Andrea
Floris, Roberto
description Historically, non-cancer diseases have not been considered a health risk following low-dose exposure to ionizing radiation. However, it is now well known that high-dose ionizing radiation causes cardiovascular disease, and emerging epidemiological evidence suggests an excess risk of non-cancer diseases even following exposure to lower doses of ionizing radiation than previously thought. In fact, the evidence is strongest for cardiovascular disease (CVD). The aim of this review was to report the most representative studies and data on the risk of CVD from low-dose radiation in people with occupational exposure. We reported the results of 27 articles selected from a database search of 1151 studies. The results show a complex evidence landscape on the relationship between radiation exposure and cardiovascular disease. In general, published papers show a positive association between ionizing radiation exposure and dermal microcirculation damage, ischemic heart disease, and cerebrovascular disease. Overall, they highlight the need for comprehensive and detailed research to clarify this relationship. Due to limited statistical power, the dose-risk relationship below 0.5 Gy is inconclusive, but if this relationship is found to have no threshold, it could have a significant impact on current estimates of health risks at low doses.
doi_str_mv 10.3390/healthcare12020238
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subjects Atherosclerosis
Cardiovascular disease
Cardiovascular diseases
Cerebrovascular disease
Disease prevention
Health aspects
Heart
Investigations
Ionizing radiation
Ischemia
Mortality
Nuclear weapons
Occupational health and safety
Prevention
Radiation therapy
Risk factors
Trends
title Low-Dose Occupational Exposure to Ionizing Radiation and Cardiovascular Effects: A Narrative Review
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