Short-term air pollution exposure is a risk factor for acute coronary syndromes in an urban area with low annual pollution rates: Results from a retrospective observational study (2011–2015)
| Autor: | Fabio Esposito, Umberto Solimene, Vincenzo Condemi, Massimo Gestro, Eliana Roveda, Luisella Bardi, Laura Tomaino, Antongiulio Bruschetta |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Acute coronary syndrome Time Factors Disease 030204 cardiovascular system & hematology Risk Assessment Coronary artery disease 03 medical and health sciences 0302 clinical medicine Risk Factors Air Pollution Environmental health Diabetes mellitus Epidemiology Humans Medicine 030212 general & internal medicine Acute Coronary Syndrome Risk factor Aged Retrospective Studies Air Pollutants business.industry Age Factors Urban Health Retrospective cohort study Environmental Exposure General Medicine Emergency department Middle Aged medicine.disease Italy Female Particulate Matter Cardiology and Cardiovascular Medicine business Environmental Monitoring |
| Zdroj: | Archives of Cardiovascular Diseases. 113:308-320 |
| ISSN: | 1875-2136 |
| DOI: | 10.1016/j.acvd.2020.03.013 |
| Popis: | Summary Background Epidemiological data suggest that air pollutants are risk factors for cardiovascular disease. Recent studies have questioned the adequacy of current legal pollutant limits, because concentrations lower than those recommended still affect cardiovascular morbidity and mortality. Aim To investigate the association between short-term exposure to air pollutants and the daily diagnosis of acute coronary syndrome (ACS) at the emergency department (ED) of S. Croce Hospital (Cuneo, Italy), between 2011 and 2015. Methods We evaluated the effect of particulate matter (PM2.5–10), nitrogen dioxide and ozone as primary exposure, together with temperature and relative humidity as climatological control variables, on ED admissions for ACS (response variables). We studied residents aged ≥ 35 years, classified into three age groups (35–64, 65–74 and ≥ 75 years). Environmental data were analysed according to Poisson's regression, and conventional cardiovascular risk factors (CRFs; hypertension, diabetes, coronary artery disease, smoking and dyslipidaemia) were included as control variables. Results ED admissions for ACS were 1625/391,689, with 298 in 2011 (0.183%), 305 in 2012 (0.188%), 347 in 2013 (0.214%), 341 in 2014 (0.21%) and 334 in 2015 (0.206%), with a general growth rate of 2.08% (from 2011 to 2015). The CRFs examined were confirmed to be highly associated with occurrence of ACS. Our study identified PM2.5 and temperature in all age groups to be additional risk factors, with PM2.5 exposure (P Conclusion This study confirms the importance of PM2.5 as a risk factor for ACS, mostly in elderly patients, even in a city with low annual pollution rates. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect