The short-term associations of weather and air pollution with emergency ambulance calls for paroxysmal atrial fibrillation
| Autor: | Jone Vencloviene, Nijole Ragaisyte, Audrius Dedele, Kristina Lopatiene, Ruta Babarskiene, Paulius Dobozinskas |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Adolescent Meteorology Paroxysmal atrial fibrillation Health Toxicology and Mutagenesis Ambulances Air pollution 030204 cardiovascular system & hematology medicine.disease_cause Young Adult 03 medical and health sciences symbols.namesake 0302 clinical medicine Air pollutants Air Pollution Internal medicine Atrial Fibrillation medicine Humans Environmental Chemistry 030212 general & internal medicine Circadian rhythm Poisson regression Weather Aged Aged 80 and over Air Pollutants business.industry Atrial fibrillation General Medicine Middle Aged medicine.disease Pollution Air temperature symbols Cardiology Female Seasons business |
| Zdroj: | Environmental Science and Pollution Research. 24:15031-15043 |
| ISSN: | 1614-7499 0944-1344 |
| Popis: | A circadian variation in the cardiovascular parameters has been detected. It is plausible that the influence of the environment varies during different periods of the day. We investigated the association between daily emergency ambulance calls (EC) for paroxysmal atrial fibrillation (AF) that occurred during the time intervals of 8:00-13:59, 14:00-21:59, and 22:00-7:59, and weather conditions and exposure to CO and PM10. We used Poisson regression to explore the association between the risk of EC for AF and environmental variables, adjusting for seasonal variation. Before noon, the risk was associated with an IQR (0.333 mg/m3) increase in CO at lag 2-6 days above the median (RR = 1.15, P = 0.002); a protective impact of CO on previous day was observed (RR = 0.91, P = 0.018). During 14:00-21:59, a negative effect of air temperature below 1.9 °C (lag 2-3 days) was detected (per 10 °C decrease: RR = 1.17, P = 0.044). At night, the elevated risk was associated with wind speed above the median (lag 2-4 days) (per 1-kt increase: RR = 1.07, P = 0.001) and with PM10 at lag 2-5 days below the median (per IQR (7.31 μg/m3) increase: RR = 1.21, P = 0.002). Individuals over 65 years of age were more sensitive to air pollution, especially at night (CO lag 2-3 days |
| Databáze: | OpenAIRE |
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