Evidence map›Paper›PMID 41848056›Full record

SynthesisJournal of the American Heart Association2026

Exposure to Volatile Organic Compounds and Cardiovascular Diseases: A Systematic Review and Meta-Analysis.

Saba Goodarzi, Mohammadreza Fakouri, Erfan Shahir-Roudi, Mohammad Naimi-Joubani, Shirin Djalalinia, Roozbeh Pourabbas, Alireza Dehghannayeri, Armita Mahdavi-Gorabi, Kiavash Semnani, Shirin Esmaeili and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Saba GoodarziNon-Communicable Diseases Research Center Alborz University of Medical Sciences Karaj Iran.ORCID 0009-0003-8273-7873
Mohammadreza FakouriStudent Research Committee Alborz University of Medical Sciences Karaj Iran.ORCID 0009-0006-1664-4814
Erfan Shahir-RoudiStudent Research Committee, School of Public Health Shahroud University of Medical Sciences (SHMU) Shahroud Iran.ORCID 0000-0001-6711-9178
Mohammad Naimi-JoubaniDepartment of Environmental Health, Research Center for Health, Safety and Environment, School of Health Alborz University of Medical Sciences Karaj Iran.ORCID 0000-0002-9771-8929
Shirin DjalaliniaNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences Tehran Iran.ORCID 0000-0002-9297-0834
Roozbeh PourabbasStudent Research Committee Alborz University of Medical Sciences Karaj Iran.ORCID 0009-0007-1200-4163
Alireza DehghannayeriCardiovascular Research Center Alborz University of Medical Sciences Karaj Iran.ORCID 0000-0002-8606-4528
Armita Mahdavi-GorabiNon-Communicable Diseases Research Center Alborz University of Medical Sciences Karaj Iran.
Kiavash SemnaniSocial Determinants of Health Research Center Alborz University of Medical Sciences Karaj Iran.ORCID 0000-0002-3735-553X
Shirin EsmaeiliNon-Communicable Diseases Research Center Alborz University of Medical Sciences Karaj Iran.ORCID 0009-0006-7630-9196
Mostafa QorbaniNon-Communicable Diseases Research Center Alborz University of Medical Sciences Karaj Iran.ORCID 0000-0001-9465-7588

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnvironmental pollution is an often-neglected contributor to cardiovascular disease (CVD). Volatile organic compounds (VOCs) are a subset of ubiquitous pollutants. Recent evidence has suggested exposure to VOCs as a possible contributor to CVD. We aimed to review the evidence for such a link between VOC exposure and cardiovascular outcomes.

methodsPubMed, Web of Science, and Scopus were systematically searched for ecological and observational studies evaluating associations between exposure to VOCs and cardiovascular outcomes. The available evidence was synthesized qualitatively, and meta-analyses were conducted wherever multiple estimates were identified for a shared association. Sensitivity analyses were performed to evaluate the influence of individual studies on the pooled estimates.

resultsThirty-six studies were included in the review. Pooled random-effects estimates for associations between VOC mixtures (odds ratio, 1.57 [95% CI, 0.79-3.11])/toluene, ethylbenzene, and xylene and CVD trended toward a positive effect while being imprecise. The pooled estimate for the association between exposure to benzene and CVD death also trended toward a positive effect (meta relative risk, 1.09 [95% CI, 0.99-1.21];

conclusionsEvidence from studies evaluating ambient and individual VOC exposures suggests a possible association with increased CVD and CVD death. However, the heterogeneity noted between specific VOCs' effects, possible confounding, limited long-term exposure assessment, and sparse evaluation of mixture/copollutant effects warrant cautious interpretation of these findings and highlight the need for future high-quality prospective studies.

Indexed as

Air PollutantsCardiovascular DiseasesEnvironmental ExposureVolatile Organic CompoundsHumansRisk AssessmentRisk FactorsAir PollutantsVolatile Organic Compoundscardiovascular diseaseenvironmental exposuremortalityVOCs

Identifiers

PMID41848056
PMCPMC13279124

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.