Wangjian Zhang1, Shao Lin1, Philip K Hopke2, Sally W Thurston3, Edwin van Wijngaarden4, Daniel Croft5, Stefania Squizzato6, Mauro Masiol6, David Q Rich7. 1. Department of Environmental Health Sciences, School of Public Health, State University of New York at Albany, Albany, NY, USA. 2. Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA; Center for Air Resources Engineering and Science, Clarkson University, Potsdam, NY, USA. 3. Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY, USA. 4. Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA; Department of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, USA; Department of Pediatrics, University of Rochester Medical Center, Rochester, NY, USA. 5. Department of Medicine, University of Rochester Medical Center, Rochester, NY, USA. 6. Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA. 7. Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA; Department of Environmental Medicine, University of Rochester Medical Center, Rochester, NY, USA; Department of Medicine, University of Rochester Medical Center, Rochester, NY, USA. Electronic address: david_rich@urmc.rochester.edu.
Abstract
BACKGROUND: Previous studies reported triggering of acute cardiovascular events by short-term increasedPM2.5 concentrations. From 2007 to 2013, national and New York state air quality policies and economic influences resulted in reduced concentrations of PM2.5 and other pollutants across the state. We estimated the rate of cardiovascular hospital admissions associated with increased PM2.5 concentrations in the previous 1-7 days, and evaluated whether they differed before (2005-2007), during (2008-2013), and after these concentration changes (2014-2016). METHODS: Using the Statewide Planning and Research Cooperative System (SPARCS) database, we retained all hospital admissions with a primary diagnosis of nine cardiovascular disease (CVD) subtypes, for residents living within 15 miles of PM2.5 monitoring sites in Buffalo, Rochester, Albany, Queens, Bronx, and Manhattan from 2005 to 2016 (N = 1,922,918). We used a case-crossover design and conditional logistic regression to estimate the admission rate for total CVD, and nine specific subtypes, associated with increased PM2.5 concentrations. RESULTS: Interquartile range (IQR) increases in PM2.5 on the same and previous 6 days were associated with 0.6%-1.2% increases in CVD admission rate (2005-2016). There were similar patterns for cardiac arrhythmia, ischemic stroke, congestive heart failure, ischemic heart disease (IHD), and myocardial infarction (MI). Ambient PM2.5 concentrations and annual total CVD admission rates decreased across the period. However, the excess rate of IHD admissions associated with each IQR increase in PM2.5 in previous 2 days was larger in the after period (2.8%; 95%CI = 1.5%-4.0%) than in the during (0.6%; 95%CI = 0.0%-1.2%) or before periods (0.8%; 95%CI = 0.2%-1.3%), with similar patterns for total CVD and MI, but not other subtypes. CONCLUSIONS: While pollutant concentrations and CVD admission rates decreased after emission changes, the same PM2.5 mass was associated with a higher rate of ischemic heart disease events. Future work should confirm these findings in another population, and investigate whether specific PM components and/or sources trigger IHD events.
BACKGROUND: Previous studies reported triggering of acute cardiovascular events by short-term increasedPM2.5 concentrations. From 2007 to 2013, national and New York state air quality policies and economic influences resulted in reduced concentrations of PM2.5 and other pollutants across the state. We estimated the rate of cardiovascular hospital admissions associated with increased PM2.5 concentrations in the previous 1-7 days, and evaluated whether they differed before (2005-2007), during (2008-2013), and after these concentration changes (2014-2016). METHODS: Using the Statewide Planning and Research Cooperative System (SPARCS) database, we retained all hospital admissions with a primary diagnosis of nine cardiovascular disease (CVD) subtypes, for residents living within 15 miles of PM2.5 monitoring sites in Buffalo, Rochester, Albany, Queens, Bronx, and Manhattan from 2005 to 2016 (N = 1,922,918). We used a case-crossover design and conditional logistic regression to estimate the admission rate for total CVD, and nine specific subtypes, associated with increased PM2.5 concentrations. RESULTS: Interquartile range (IQR) increases in PM2.5 on the same and previous 6 days were associated with 0.6%-1.2% increases in CVD admission rate (2005-2016). There were similar patterns for cardiac arrhythmia, ischemic stroke, congestive heart failure, ischemic heart disease (IHD), and myocardial infarction (MI). Ambient PM2.5 concentrations and annual total CVD admission rates decreased across the period. However, the excess rate of IHD admissions associated with each IQR increase in PM2.5 in previous 2 days was larger in the after period (2.8%; 95%CI = 1.5%-4.0%) than in the during (0.6%; 95%CI = 0.0%-1.2%) or before periods (0.8%; 95%CI = 0.2%-1.3%), with similar patterns for total CVD and MI, but not other subtypes. CONCLUSIONS: While pollutant concentrations and CVD admission rates decreased after emission changes, the same PM2.5 mass was associated with a higher rate of ischemic heart disease events. Future work should confirm these findings in another population, and investigate whether specific PM components and/or sources trigger IHD events.
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Authors: Daniel P Croft; Wangjian Zhang; Shao Lin; Sally W Thurston; Philip K Hopke; Mauro Masiol; Stefania Squizzato; Edwin van Wijngaarden; Mark J Utell; David Q Rich Journal: Ann Am Thorac Soc Date: 2019-03
Authors: Meng Wang; Philip K Hopke; Mauro Masiol; Sally W Thurston; Scott Cameron; Frederick Ling; Edwin van Wijngaarden; Daniel Croft; Stefania Squizzato; Kelly Thevenet-Morrison; David Chalupa; David Q Rich Journal: Environ Health Date: 2019-09-06 Impact factor: 5.984
Authors: Daniel P Croft; Wangjian Zhang; Shao Lin; Sally W Thurston; Philip K Hopke; Edwin van Wijngaarden; Stefania Squizzato; Mauro Masiol; Mark J Utell; David Q Rich Journal: Environ Sci Technol Date: 2019-12-18 Impact factor: 9.028
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