Particulate matter (PM) is a major component of urban air pollution and hasand also in chronic obstructive pulmonary diseases (COPD) has been observed in developed countries over the last 3 decades (11,12,13,14,15,16). The adverse effect of PM on respiratory health has a quantifiable impact, not only on the morbidity but also on the mortality of respiratory diseases (17, 18). On the other hand the possible association between cardiovascular diseases (CVD) and exposure to airborne PM has only recently been addressed. As reviewed in several papers (19,20,21), exposure to PM as a result of outdoor air pollution has become a recognized risk factor for adverse cardiovascular events including cardiovascular mortality, cardiac arrhythmia, myocardial infarction (MI), myocardial ischemia, and heart failure (22,23,24,25). Additionally, the mortality in cities with high levels of air pollution exceeds that observed in relatively cleaner cities by 15-20 %. Even in the EU, the average life expectancy is 8.6 months lower due to exposure to PM produced by human activities (5,26). In the present review, the components of air pollution are presented and the effect of PM exposure on the cardiovascular and respiratory system is analysed.
THE COMPONENTS OF AIR POLLUTIONPM is a major component of urban air pollution and has a major effect on human health, nature and atmosphere. PM10 means PM that passes through a size-selective inlet with a 50 % efficiency cut-off at 10 µm aerodynamic diameter (27). Likewise PM2.5 means particles that pass through a size-selective inlet with a 50 % efficiency cut-off at 2.5 μm aerodynamic diameter. The limit value for the annual average concentration for PM10 is 40 µg/m 3 . The limit value for 24 h averages, which may be exceeded 35 times per year, is 50 μg/m 3 for PM10. For air quality monitoring purposes, PM10 measurements are most widely used at present. EU Member states were also obliged to gather information on the concentrations of fine PM2.5 particles. The target value of 25 µg/m 3 for PM2.5 entered into force on 01/01/2010 and the limit value enters into force on 01/01/2015 (28). The World Health Organization (WHO) recommended limits for the concentration of PM10 is 20 µg/m 3 and 10 µg/m 3 for PM2.5 (29).
2