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Atherosclerosis and hypertension induction by lead and cadmium ions: an effect prevented by calcium ion.

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TLDR
If the results with the pigeon can be applied to humans, the incidence of aortic atherosclerosis and hypertension should be significantly higher in areas where the drinking water contains magnesium, lead, and cadmium with a relatively low calcium concentration.
Abstract
In epidemiological studies, both positive and negative correlations have been found between cardiovascular disease and mortality and the presence of several inorganic ions in the drinking water. In an attempt to resolve this apparent disagreement, we exposed White Carneau pigeons to drinking water containing calcium (100 ppm), magnesium (30 ppm), lead (0.8 ppm), or cadmium (0.6 ppm) and used a 2(4)-factorial design to measure the effects of these elements in atherosclerosis and hypertension. The results indicate that (i) lead and cadmium induced aortic atherosclerosis and hypertension, and (ii) calcium protects against the cardiovascular effects of cadmium. Furthermore, the effects of lead and cadmium were promoted by magnesium, and there were indications that magnesium antagonized the atherosclerotic protective effect of calcium. We suggest that, if these results with the pigeon can be applied to humans, the incidence of aortic atherosclerosis and hypertension should be significantly higher in areas where the drinking water contains magnesium, lead, and cadmium with a relatively low calcium concentration. Furthermore, if hard and soft water produce similar levels of lead and cadmium uptakes, the level of magnesium may be an additional factor in aortic atherosclerosis.

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Citations
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Lead exposure and cardiovascular disease--a systematic review.

TL;DR: This systematic review evaluates the evidence on the association between lead exposure and cardiovascular end points in human populations and concludes that the evidence is suggestive but not sufficient to infer a causal relationship of lead exposure with clinical cardiovascular outcomes.
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Lead, Cadmium, Smoking, and Increased Risk of Peripheral Arterial Disease

TL;DR: Blood lead and cadmium, at levels well below current safety standards, were associated with an increased prevalence of peripheral arterial disease in the general US population and may partially mediate the effect of smoking on peripheral arterials disease.
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Environmental Cardiology Studying Mechanistic Links Between Pollution and Heart Disease

TL;DR: Additional studies are urgently needed to identify the contribution of individual pollutants to specific aspects of cardiovascular disease and establish causality; elucidate the underlying physiological and molecular mechanisms; and determine whether pollutant exposure are risk correlates.
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Heavy Metal Poisoning and Cardiovascular Disease

TL;DR: A brief summary of heavy metals homeostasis is given, followed by a description of the available evidence for their link with CVD and the proposed mechanisms of action by which their toxic effects might be explained, and suspected interactions between genetic, nutritional and environmental factors are discussed.
References
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Journal ArticleDOI

Blood-lead and hypertension

TL;DR: High blood-pressure is associated with high blood-lead levels, which might explain the high prevalence of cardiovascular disease in the area, according to a study of hypertensives in the West of Scotland.
Journal ArticleDOI

Clinical and biochemical indicators of cardiovascular disease among men living in hard and soft water areas

TL;DR: Clinical and biochemical measurements are compared in middle-aged male Civil Servants, 244 living in six hard-water and 245 in six soft-water towns to observe differences in blood-pressure, plasmacholesterol, and heart-rate levels that could be important in explaining a substantial part of the difference in cardiovascular mortality.
Journal ArticleDOI

Sudden death and ischemic heart disease. Correlation with hardness of local water supply.

TL;DR: This finding suggests that the correlation between cardiac mortality and water hardness may be the result of an increased susceptibility to lethal arrhythmias among residents of soft-water areas.
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