A narrative review of environmental noise and cardiovascular health: From molecular mechanisms to public health impact

Urban environments of the 21st century present unprecedented challenges to human health, with environmental noise emerging as a critical determinant of cardiovascular well-being. This integrative analysis synthesizes contemporary understanding of noise-induced cardiovascular effects, incorporating i...

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Main Author: Rahul Garg
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Environmental Disease
Subjects:
Online Access:https://journals.lww.com/10.4103/ed.ed_22_24
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author Rahul Garg
author_facet Rahul Garg
author_sort Rahul Garg
collection DOAJ
description Urban environments of the 21st century present unprecedented challenges to human health, with environmental noise emerging as a critical determinant of cardiovascular well-being. This integrative analysis synthesizes contemporary understanding of noise-induced cardiovascular effects, incorporating insights from molecular biology, clinical research, and epidemiological investigations. The physiological response to noise encompasses both rapid adaptations and sustained modifications, including autonomic nervous system modulation, stress hormone cascades, and altered inflammatory pathways. Large-scale population studies demonstrate robust associations between chronic noise exposure and cardiovascular conditions, with particular emphasis on hypertension and coronary artery disease. The disruption of sleep architecture emerges as a central mechanism linking environmental noise to cardiovascular dysfunction. Vulnerability to these effects varies across populations, influenced by genetic, demographic, and preexisting health factors. Evidence supports a graded relationship between noise intensity and cardiovascular risk, suggesting a lack of safe threshold. These findings carry profound implications for urban planning and public health policy, highlighting the urgent need for innovative noise reduction strategies in modern living spaces.
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spelling doaj-art-6b71f9fae0ef4222bf382caf88348d3f2025-08-20T02:08:43ZengWolters Kluwer Medknow PublicationsEnvironmental Disease2468-57042025-01-0110161410.4103/ed.ed_22_24A narrative review of environmental noise and cardiovascular health: From molecular mechanisms to public health impactRahul GargUrban environments of the 21st century present unprecedented challenges to human health, with environmental noise emerging as a critical determinant of cardiovascular well-being. This integrative analysis synthesizes contemporary understanding of noise-induced cardiovascular effects, incorporating insights from molecular biology, clinical research, and epidemiological investigations. The physiological response to noise encompasses both rapid adaptations and sustained modifications, including autonomic nervous system modulation, stress hormone cascades, and altered inflammatory pathways. Large-scale population studies demonstrate robust associations between chronic noise exposure and cardiovascular conditions, with particular emphasis on hypertension and coronary artery disease. The disruption of sleep architecture emerges as a central mechanism linking environmental noise to cardiovascular dysfunction. Vulnerability to these effects varies across populations, influenced by genetic, demographic, and preexisting health factors. Evidence supports a graded relationship between noise intensity and cardiovascular risk, suggesting a lack of safe threshold. These findings carry profound implications for urban planning and public health policy, highlighting the urgent need for innovative noise reduction strategies in modern living spaces.https://journals.lww.com/10.4103/ed.ed_22_24cardiovascular diseasecoronary heart diseasehypertensionnoise pollutionsleep disruption
spellingShingle Rahul Garg
A narrative review of environmental noise and cardiovascular health: From molecular mechanisms to public health impact
Environmental Disease
cardiovascular disease
coronary heart disease
hypertension
noise pollution
sleep disruption
title A narrative review of environmental noise and cardiovascular health: From molecular mechanisms to public health impact
title_full A narrative review of environmental noise and cardiovascular health: From molecular mechanisms to public health impact
title_fullStr A narrative review of environmental noise and cardiovascular health: From molecular mechanisms to public health impact
title_full_unstemmed A narrative review of environmental noise and cardiovascular health: From molecular mechanisms to public health impact
title_short A narrative review of environmental noise and cardiovascular health: From molecular mechanisms to public health impact
title_sort narrative review of environmental noise and cardiovascular health from molecular mechanisms to public health impact
topic cardiovascular disease
coronary heart disease
hypertension
noise pollution
sleep disruption
url https://journals.lww.com/10.4103/ed.ed_22_24
work_keys_str_mv AT rahulgarg anarrativereviewofenvironmentalnoiseandcardiovascularhealthfrommolecularmechanismstopublichealthimpact
AT rahulgarg narrativereviewofenvironmentalnoiseandcardiovascularhealthfrommolecularmechanismstopublichealthimpact