Cardiovascular disease is the leading cause of morbidity and mortality worldwide, with a substantial amount of health-care resources targeted towards its diagnosis and management. Environmental sustainability in cardiovascular care can have an important role in reducing greenhouse gas emissions and pollution and could be beneficial for improving health metrics and societal well-being and minimizing the cost of health care. In this Review, we discuss the motivations and frameworks for sustainable cardiovascular care with an emphasis on the reduction of the climate-related and environmental effects of cardiovascular care. We also provide an overview of greenhouse gas emissions related to the provision of health care, including their measurement and quantification, carbon accounting, carbon disclosures and climate effects. The principles of life-cycle assessment, waste prevention and circular economics in health care are discussed, and the emissions associated with various sectors of cardiovascular care as well as the rationale for prevention as a powerful approach to reduce these emissions are presented. Finally, we highlight the challenges in environmental sustainability and future directions as applicable to cardiovascular practice.

心血管疾病是全世界发病率和死亡率的主要原因，大量卫生保健资源用于其诊断和管理。心血管护理的环境可持续性可以在减少温室气体排放和污染方面发挥重要作用，并可能有助于改善健康指标和社会福祉，并最大限度地降低医疗保健成本。在本综述中，我们讨论了可持续心血管护理的动机和框架，重点是减少心血管护理对气候和环境的影响。我们还概述了与提供医疗保健相关的温室气体排放，包括其测量和量化、碳核算、碳披露和气候影响。讨论了医疗保健中的生命周期评估、废物预防和循环经济学的原则，并介绍了与心血管护理各个部门相关的排放以及预防作为减少这些排放的有效方法的基本原理。最后，我们强调了环境可持续性方面的挑战和适用于心血管实践的未来方向。