Chronic PM2.5 Exposure Is Associated With Invasively Assessed Coronary Endothelial Dysfunction
Main finding · EED per 1 μg/m³ increase in PM2.5Result — go to the resultOdds ratio 1.078 95% CI 1.021–1.139Authors' conclusion
Chronic PM2.5 exposure is associated with epicardial coronary ED, suggesting a potential biological link between PM2.5 and CAD.
Study context
- Population
- Patients with angina and nonobstructive coronary artery disease (CAD) undergoing coronary reactivity testing at Mayo Clinic, 2000–2023
- Participants
- 1,485 patients
- Exposure
- Chronic PM2.5 exposure
- Outcome
- Epicardial endothelial dysfunction (EED; <−20% change in coronary diameter in response to acetylcholine)
Methodological detailssingle-centre, generalized propensity score with stabilized inverse probability weights
- Single-centre
- Generalized propensity score with stabilized inverse probability weights
Main finding
EED per 1 μg/m³ increase in PM2.5
Odds ratio
1.078
95% CI 1.021–1.139
P = 0.007
PM2.5 per 1 μg/m³ increase
OR 1.078 (95% CI 1.021–1.139); P = 0.007
Per 1 μg/m³ increase, as printed
As reported in the abstract
Observational data: associations, not effects.
Further findings
Characteristics of patients exposed to PM2.5 above EPA standards (9 μg/m³)
- Younger, fewer CV comorbidities, worse lipid profiles
Original publication
Chronic PM2.5 Exposure Is Associated With Invasively Assessed Coronary Endothelial Dysfunction. J Am Coll Cardiol. Published 20 May 2026. doi:10. 1016/ j. jacc. 2026. 03. 155
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