Heat and the Heart: The Unseen Microvascular Pathway to Myocardial Infarction

Authors

DOI:

https://doi.org/10.63501/wn85cb71

Keywords:

Extreme heat waves, Myocardial Infarction (MI) , Heat Stroke, Ischemic Heart Disease, Microvascular pathways

References

‎1.‎ HONG L, YAN MM, ZHANG YQ, WANG K, WANG YQ, LUO SQ, et al. Global ‎Burden of Cardiovascular Disease Attributable to High Temperature in 204 Countries ‎and Territories from 1990 to 2019. Biomed Environ Sci [Internet]. 2023 Mar 1 [cited ‎‎2025 Oct 11];36(3):222–30. Available from: ‎https://pubmed.ncbi.nlm.nih.gov/37005076/‎

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‎3.‎ Mora C, Dousset B, Caldwell IR, Powell FE, Geronimo RC, Bielecki CR, et al. Global ‎risk of deadly heat. Nat Clim Chang [Internet]. 2017 Jun 30 [cited 2025 Oct ‎‎11];7(7):501–6. Available from: https://www.nature.com/articles/nclimate3322‎

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‎5.‎ Ullah K, Ai L, Li Y, Liu L, Zhang Q, Pan K, et al. ARNT-dependent HIF-2α signaling ‎protects cardiac microvascular barrier integrity and heart function post-myocardial ‎infarction. Commun Biol [Internet]. 2025 Dec 1 [cited 2025 Oct 11];8(1). Available ‎from: https://pubmed.ncbi.nlm.nih.gov/40089572/‎

‎6.‎ Sasaki O, Nishioka T, Sasaki H. Heat Stroke-Induced Takotsubo Cardiomyopathy With ‎a Concomitant Transient Brugada-Like Electrocardiogram. Cureus [Internet]. 2023 Jul ‎‎28 [cited 2025 Oct 11];15(7):e42605. Available from: ‎https://pmc.ncbi.nlm.nih.gov/articles/PMC10460538/‎

‎7.‎ Xia R, Sun M, Li Y, Yin J, Liu H, Yang J, et al. The pathogenesis and therapeutic ‎strategies of heat stroke-induced myocardial injury. Front Pharmacol [Internet]. 2024 ‎‎[cited 2025 Oct 11];14:1286556. Available from: ‎https://pmc.ncbi.nlm.nih.gov/articles/PMC10800451/‎

‎8.‎ Klingelhöfer D, Braun M, Brüggmann D, Groneberg DA. Heatwaves: does global ‎research reflect the growing threat in the light of climate change? Global Health ‎‎[Internet]. 2023 Dec 1 [cited 2025 Oct 11];19(1). Available from: ‎https://pubmed.ncbi.nlm.nih.gov/37568208/‎

‎9.‎ Peters A, Schneider A. Cardiovascular risks of climate change. Nat Rev Cardiol ‎‎[Internet]. 2021 Jan 1 [cited 2025 Oct 11];18(1). Available from: ‎https://pubmed.ncbi.nlm.nih.gov/33169005/‎

‎10.‎ Siddiqui SA, Thiam S, Houndodjade C, Murage P, Bonell A. A systematic review and ‎meta-analysis of the impact of environmental heat exposure on cardiovascular diseases, ‎chronic respiratory diseases and diabetes mellitus in low- & middle-income countries. ‎Environ Res [Internet]. 2025 Oct 1 [cited 2025 Oct 11];282. Available from: ‎https://pubmed.ncbi.nlm.nih.gov/40451411/‎

‎11.‎ Romanello M, Napoli C di, Green C, Kennard H, Lampard P, Scamman D, et al. The ‎‎2023 report of the Lancet Countdown on health and climate change: the imperative for a ‎health-centred response in a world facing irreversible harms. Lancet [Internet]. 2023 Dec ‎‎16 [cited 2025 Oct 11];402(10419):2346–94. Available from: ‎https://pubmed.ncbi.nlm.nih.gov/37977174/‎

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Published

2025-11-23

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