Evidence map›Paper›PMID 39455886›Full record

ReviewNature reviews. Cardiology2025

Environmental sustainability in cardiovascular practice: current challenges and future directions.

Sanjay Rajagopalan, Scott McAlister, Jason Jay, Richard D Pham, Robert D Brook, Khurram Nasir, Mark J Nieuwenhuijsen, Philip Landrigan, Allegra Wiesler, Christina Vernon Sanborn and 4 more

Abstract readReview
In one paragraph

Review in Nature reviews. Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Sanjay RajagopalanUniversity Hospitals and Case Western Reserve University, Cleveland, OH, USA. sanjay.rajagopalan@uhhospitals.org.
Scott McAlisterSydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Jason JayMIT Sloan School of Management and Sustainability Initiative at MIT Sloan, Cambridge, MA, USA.
Richard D PhamUniversity Hospitals and Case Western Reserve University, Cleveland, OH, USA.
Robert D BrookDivision of Cardiovascular Diseases, Department of Internal Medicine, Wayne State University, Detroit, MI, USA.
Khurram NasirDeBakey Heart and Vascular Center, Houston Methodist, Houston, TX, USA.
Mark J NieuwenhuijsenISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.
Philip LandriganProgram for Global Public Health and the Common Good, Boston College, Boston, MA, USA.
Allegra WieslerOhio Health, Columbus, OH, USA.
Christina Vernon SanbornMazzetti Inc., San Francisco, CA, USA.
Justin R CarronEaton Corporation, Cleveland, OH, USA.
Kara Hammond BrooksAmerican Society for Health Care Engineering of the American Hospital Association, Chicago, IL, USA.
Aruni BhatnagarUniversity of Louisville, Kentucky, KY, USA.
Sadeer Al-KindiDeBakey Heart and Vascular Center, Houston Methodist, Houston, TX, USA. sal-kindi@houstonmethodist.org.

Funding

ACHIEVE P3 - CHDP50MD017351 · NIMHD · WAYNE STATE UNIVERSITY · PI DAILEY, RHONDA K · 2021 to 2025
$21.1M
Superfund Training CoreP42ES023716 · NIEHS · UNIVERSITY OF LOUISVILLE · PI SRIVASTAVA, SANJAY · 2017 to 2025
$18.1M
Urban Greenness and Cardiovascular HealthR01ES029846 · NIEHS · UNIVERSITY OF LOUISVILLE · PI Aruni Bhatnagar · 2018 to 2026
$6.2M
Diversity Suppplement (CIRCADIAN) Circadian Disruption as Mediator of Cardiometabolic Risk in Air PollutionR35ES031702 · NIEHS · CASE WESTERN RESERVE UNIVERSITY · PI Sanjay Rajagopalan · 2021 to 2026
$5.9M
NIEHS NIH HHS P42 ES023716NIEHS NIH HHS R01 ES029846NIEHS NIH HHS R35 ES031702NIMHD NIH HHS P50 MD017351
6 · The paper itself

Abstract

Cardiovascular disease is the leading cause of morbidity and mortality worldwide, with a substantial amount of health-care resources targeted towards its diagnosis and management. Environmental sustainability in cardiovascular care can have an important role in reducing greenhouse gas emissions and pollution and could be beneficial for improving health metrics and societal well-being and minimizing the cost of health care. In this Review, we discuss the motivations and frameworks for sustainable cardiovascular care with an emphasis on the reduction of the climate-related and environmental effects of cardiovascular care. We also provide an overview of greenhouse gas emissions related to the provision of health care, including their measurement and quantification, carbon accounting, carbon disclosures and climate effects. The principles of life-cycle assessment, waste prevention and circular economics in health care are discussed, and the emissions associated with various sectors of cardiovascular care as well as the rationale for prevention as a powerful approach to reduce these emissions are presented. Finally, we highlight the challenges in environmental sustainability and future directions as applicable to cardiovascular practice.

Indexed as

Cardiovascular DiseasesClimate ChangeGreenhouse EffectGreenhouse GasesHumansGreenhouse Gases

Identifiers

PMID39455886
PMCPMC12080526

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.