Read the passage below and answer the question:

"Urban noise pollution is increasingly recognized as an invisible cardiovascular hazard. Chronic nocturnal exposure to road and aviation noise exceeding fifty-five decibels elevates nocturnal cortisol and adrenaline, inducing systemic vascular endothelial dysfunction and multiplying long-term risks of myocardial infarction."

According to the passage, how does nocturnal noise pollution harm cardiovascular health?

Answer and explanation

Correct answer: A. by triggering elevated stress hormones that cause vascular endothelial dysfunction

  1. Step 1: Trace the physiological pathway described: noise > 55 dB 'elevates nocturnal cortisol and adrenaline, inducing systemic vascular endothelial dysfunction and multiplying long-term risks of myocardial infarction'.
  2. Step 2: Noise induces neuroendocrine stress hormone release, damaging blood vessels and raising heart attack risks.
Answer
by triggering elevated stress hormones that cause vascular endothelial dysfunction.
Why not the others: 'by directly rupturing eardrums and causing permanent physical hearing loss' describes acute acoustic trauma (> 140 dB), not the chronic cardiovascular stress mechanism in the text; 'by increasing physical blood volume and flooding internal thoracic organs' is medically absurd; 'by eliminating the body's natural capacity to synthesize digestive enzymes' is unmentioned.

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