Associations between short-term exposure to PM 2.5 and cardiomyocyte injury in myocardial infarction survivors in North Carolina.

Autor: Wyatt L; Center for Public Health and Environmental Assessment, US Environmental Protection Agency Center for Public Health and Environmental Assessment, Research Triangle Park, North Carolina, USA., Kamat G; Brown University, Providence, Rhode Island, USA., Moyer J; US Environmental Protection Agency Center for Public Health and Environmental Assessment, Research Triangle Park, North Carolina, USA., Weaver AM; US Environmental Protection Agency Center for Public Health and Environmental Assessment, Research Triangle Park, North Carolina, USA., Diaz-Sanchez D; US Environmental Protection Agency Center for Public Health and Environmental Assessment, Research Triangle Park, North Carolina, USA., Devlin RB; US Environmental Protection Agency Center for Public Health and Environmental Assessment, Research Triangle Park, North Carolina, USA., Di Q; Vanke School of Public Health, Tsinghua University, Beijing, China., Schwartz JD; Harvard T.H. Chan School of Public Health, Department of Environmental Health, Harvard University, Boston, Massachusetts, USA., Cascio WE; US Environmental Protection Agency Center for Public Health and Environmental Assessment, Research Triangle Park, North Carolina, USA., Ward-Caviness CK; US Environmental Protection Agency Center for Public Health and Environmental Assessment, Research Triangle Park, North Carolina, USA ward-caviness.cavin@epa.gov.
Jazyk: angličtina
Zdroj: Open heart [Open Heart] 2022 Jun; Vol. 9 (1).
DOI: 10.1136/openhrt-2021-001891
Abstrakt: Objective: Short-term ambient fine particulate matter (PM 2.5 ) is associated with adverse cardiovascular events including myocardial infarction (MI). However, few studies have examined associations between PM 2.5 and subclinical cardiomyocyte damage outside of overt cardiovascular events. Here we evaluate the impact of daily PM 2.5 on cardiac troponin I, a cardiomyocyte specific biomarker of cellular damage.
Methods: We conducted a retrospective cohort study of 2924 patients identified using electronic health records from the University of North Carolina Healthcare System who had a recorded MI between 2004 and 2016. Troponin I measurements were available from 2014 to 2016, and were required to be at least 1 week away from a clinically diagnosed MI. Daily ambient PM 2.5 concentrations were estimated at 1 km resolution and assigned to patient residence. Associations between log-transformed troponin I and daily PM 2.5 were evaluated using distributed lag linear mixed effects models adjusted for patient demographics, socioeconomic status and meteorology.
Results: A 10 µg/m 3 elevation in PM 2.5 3 days before troponin I measurement was associated with 0.06 ng/mL higher troponin I (95% CI=0.004 to 0.12). In stratified models, this association was strongest in patients that were men, white and living in less urban areas. Similar associations were observed when using 2-day rolling averages and were consistently strongest when using the average exposure over the 5 days prior to troponin I measurement.
Conclusions: Daily elevations in PM 2.5 were associated with damage to cardiomyocytes, outside of the occurrence of an MI. Poor air quality may cause persistent damage to the cardiovascular system leading to increased risk of cardiovascular disease and adverse cardiovascular events.
Competing Interests: Competing interests: CW-C is a paid advisor for the Clock Foundation. The Clock Foundation had no involvement in any aspect of this work. The remaining authors have nothing to disclose.
(© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE
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