PMID- 32842829 OWN - NLM STAT- MEDLINE DCOM- 20210309 LR - 20240430 IS - 2047-9980 (Electronic) IS - 2047-9980 (Linking) VI - 9 IP - 17 DP - 2020 Sep TI - Occupational Exposures and Cardiac Structure and Function: ECHO-SOL (Echocardiographic Study of Latinos). PG - e016122 LID - 10.1161/JAHA.120.016122 [doi] LID - e016122 AB - Background Our objective was to determine associations of occupational exposures with cardiac structure and function in Hispanic/Latino adults. Methods and Results Employed participants were included (n=782; 52% women, mean age 52.9 years). Occupational exposures to burning wood, vehicle exhaust, solvents, pesticides, and metals at the current and longest-held job were assessed by questionnaire. Survey multivariable linear regression analyses were used to model the relationship of each self-reported exposure with echocardiographic measures of cardiac structure and function. Exposure to burning wood at the current job was associated with decreased left ventricular (LV) ejection fraction (-3.1%; standard error [SE], 1.0 [P=0.002]). When the analysis was restricted to exposure at the longest-held job, occupational exposure to burning wood was associated with increased LV diastolic volume (6.7 mL; SE, 1.6 [P<0.0001]), decreased LV ejection fraction (-2.7%; SE, 0.6 [P<0.0001]), worse LV global longitudinal strain (1.0%; SE, 0.3 [P=0.0009]), and decreased right ventricular fractional area change (-0.02; SE, 0.004 [P<0.001]). Exposure to pesticides was associated with worse average global longitudinal strain (0.8%; SE, 0.2 [P<0.0001]). Exposure to metals was associated with worse global longitudinal strain in the 2-chamber view (1.0%; SE, 0.5 [P=0.04]), increased stroke volume (3.6 mL; SE, 1.6 [P=0.03]), and increased LV mass indexed to BSA (9.2 g/m(2); SE, 3.8 [P=0.01]) or height (4.4 g/m(2.7); SE, 1.9 [P=0.02]). Conclusions Occupational exposures to burning wood, vehicle exhaust, pesticides, and metals were associated with abnormal parameters of LV and right ventricular systolic function. Reducing exposures to toxic chemicals and particulates in the workplace is a potential opportunity to prevent cardiovascular disease in populations at risk. FAU - Burroughs Pena, Melissa S AU - Burroughs Pena MS AD - Stanford Health Care Oakland CA. FAU - Uwamungu, Jean Claude AU - Uwamungu JC AD - Department of Medicine Albert Einstein College of Medicine Bronx NY. FAU - Bulka, Catherine M AU - Bulka CM AD - Department of Environmental Sciences and Engineering University of North Carolina Chapel Hill NC. FAU - Swett, Katrina AU - Swett K AD - Department of Medicine Albert Einstein College of Medicine Bronx NY. AD - Department Epidemiology and Population Health Albert Einstein College of Medicine Bronx NY. FAU - Perreira, Krista M AU - Perreira KM AD - Department of Social Medicine University of North Carolina School of Medicine Chapel Hill NC. FAU - Kansal, Mayank M AU - Kansal MM AD - Institute for Minority Health Research University of Illinois Chicago IL. FAU - Loop, Matthew Shane AU - Loop MS AD - Department of Biostatistics University of North Carolina Gillings School of Global Public Health Chapel Hill NC. FAU - Hurwitz, Barry E AU - Hurwitz BE AD - Behavioral Medicine Research Center, Miller School of Medicine University of Miami FL. AD - Department of Psychology University of Miami Coral Gables FL. FAU - Daviglus, Martha AU - Daviglus M AD - Institute for Minority Health Research University of Illinois Chicago IL. FAU - Rodriguez, Carlos J AU - Rodriguez CJ AD - Department of Medicine Albert Einstein College of Medicine Bronx NY. AD - Department Epidemiology and Population Health Albert Einstein College of Medicine Bronx NY. LA - eng GR - K02 HL004199/HL/NHLBI NIH HHS/United States GR - N01 HC065234/HC/NHLBI NIH HHS/United States GR - N01HC65236/HL/NHLBI NIH HHS/United States GR - N01HC65235/HL/NHLBI NIH HHS/United States GR - N01HC65233/HL/NHLBI NIH HHS/United States GR - N01 HC065233/HC/NHLBI NIH HHS/United States GR - N01 HC065236/HC/NHLBI NIH HHS/United States GR - N01 HC065237/HC/NHLBI NIH HHS/United States GR - N01HC65234/HL/NHLBI NIH HHS/United States GR - P2C HD050924/HD/NICHD NIH HHS/United States GR - N01 HC065235/HC/NHLBI NIH HHS/United States PT - Journal Article PT - Observational Study PT - Research Support, N.I.H., Extramural DEP - 20200826 PL - England TA - J Am Heart Assoc JT - Journal of the American Heart Association JID - 101580524 RN - 0 (Air Pollutants, Occupational) SB - IM MH - Adult MH - Aged MH - Air Pollutants, Occupational/*adverse effects MH - Cardiovascular Diseases/ethnology/*prevention & control MH - Case-Control Studies MH - Cross-Sectional Studies MH - Diastole/physiology MH - Echocardiography/*methods MH - Female MH - Heart/*diagnostic imaging/physiopathology MH - Heart Ventricles/physiopathology MH - Hispanic or Latino/statistics & numerical data MH - Humans MH - Male MH - Middle Aged MH - Occupational Exposure/*adverse effects MH - Risk Factors MH - Stroke Volume/physiology MH - Surveys and Questionnaires/statistics & numerical data MH - Ventricular Dysfunction, Left/physiopathology PMC - PMC7660755 OTO - NOTNLM OT - air pollution OT - echocardiography OT - environmental medicine OT - occupational medicine COIS- None. EDAT- 2020/08/28 06:00 MHDA- 2021/03/10 06:00 PMCR- 2020/09/01 CRDT- 2020/08/27 06:00 PHST- 2020/08/28 06:00 [pubmed] PHST- 2021/03/10 06:00 [medline] PHST- 2020/08/27 06:00 [entrez] PHST- 2020/09/01 00:00 [pmc-release] AID - JAH35396 [pii] AID - 10.1161/JAHA.120.016122 [doi] PST - ppublish SO - J Am Heart Assoc. 2020 Sep;9(17):e016122. doi: 10.1161/JAHA.120.016122. Epub 2020 Aug 26.