Ask the doctor: Is wood smoke a problem for my heart?

Q. Many people in my neighborhood heat their homes with wood stoves. The smoke really bothers me. Does what's coming out of their chimneys affect my heart?

A. Burning wood releases a bevy of gases and particles into the air. The gases include irritating or toxic gases such as nitrogen dioxide and carbon monoxide. The most hazardous particles are the tiniest, those with a diameter of 2.5 millionths of a meter or less (called PM2.5 for short). Too small for your nose and airways to filter out, these particles settle deep in the lungs. They deliver toxins riding on their surfaces to unprotected tissue and can migrate into the circulatory system. In addition to causing breathing problems, PM2.5 promotes the formation of blood clots inside arteries, riles up inflammation, increases the fragility of cholesterol-filled plaques inside arteries, and contributes to heart-rhythm problems.

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