Łukasz Kuźma1, Szymon Pogorzelski2, Krzysztof Struniawski2, Sławomir Dobrzycki2, Hanna Bachórzewska-Gajewska3. 1. Department of Invasive Cardiology, Medical University of Bialystok, Białystok, Poland. kuzma.lukasz@gmail.com 2. Department of Invasive Cardiology, Medical University of Bialystok, Białystok, Poland 3. Department of Invasive Cardiology, Medical University of Bialystok, Białystok, Poland; Department of Clinical Medicine, Medical University of Bialystok, Białystok, Poland
Abstract
INTRODUCTION: Air pollution is a documented risk factor for cardiovascular diseases. OBJECTIVES: The aim of the study was to assess the effect of air pollution on the number of hospital admissions for acute coronary syndrome (ACS) in elderly patients. PATIENTS AND METHODS: The medical records of 26 695 patients hospitalized for ACS between 2008 and 2017 were examined. Weather conditions and the following components of air pollution were analyzed: sulfur dioxide, nitrogen dioxide, and particulate matter with a diameter of 2.5 μm or less (PM2.5) and a diameter of 10 μm or less (PM10). RESULTS: The study included 1618 inhabitants of Białystok in Poland (mean [SD] age, 75 [6.4] years; men, 52.6%). The norm for PM2.5 was exceeded on 23.5% of days, while for PM10, on 5.3% of days. Elevated PM10 levels were associated with a higher number of hospitalizations for ACS on the day of exposure (mean [SD], 0.61 [0.78] vs 0.44 [0.69]; P <0.001), and this effect persisted in the subsequent days (mean [SD], 1.07 [1.07] vs 0.88 [1.00]; P = 0.02). An increase of PM10 concentrations by 10 μg/m3 was associated with an increase in the number of hospitalizations due to unstable angina, and significant effects were observed even after 6 days (rate ratio, 1.16; 95% CI, 1.03-1.32; P = 0.02). CONCLUSIONS: Increased exposure to air pollution, in particular, elevated PM10 levels, is associated with a higher incidence of ACS both on the day of exposure and over the following days.
INTRODUCTION: Air pollution is a documented risk factor for cardiovascular diseases. OBJECTIVES: The aim of the study was to assess the effect of air pollution on the number of hospital admissions for acute coronary syndrome (ACS) in elderly patients. PATIENTS AND METHODS: The medical records of 26 695 patients hospitalized for ACS between 2008 and 2017 were examined. Weather conditions and the following components of air pollution were analyzed: sulfur dioxide, nitrogen dioxide, and particulate matter with a diameter of 2.5 μm or less (PM2.5) and a diameter of 10 μm or less (PM10). RESULTS: The study included 1618 inhabitants of Białystok in Poland (mean [SD] age, 75 [6.4] years; men, 52.6%). The norm for PM2.5 was exceeded on 23.5% of days, while for PM10, on 5.3% of days. Elevated PM10 levels were associated with a higher number of hospitalizations for ACS on the day of exposure (mean [SD], 0.61 [0.78] vs 0.44 [0.69]; P <0.001), and this effect persisted in the subsequent days (mean [SD], 1.07 [1.07] vs 0.88 [1.00]; P = 0.02). An increase of PM10 concentrations by 10 μg/m3 was associated with an increase in the number of hospitalizations due to unstable angina, and significant effects were observed even after 6 days (rate ratio, 1.16; 95% CI, 1.03-1.32; P = 0.02). CONCLUSIONS: Increased exposure to air pollution, in particular, elevated PM10 levels, is associated with a higher incidence of ACS both on the day of exposure and over the following days.
Authors: Sasinee Hantrakool; Sirinart Kumfu; Siriporn C Chattipakorn; Nipon Chattipakorn Journal: Int J Environ Res Public Health Date: 2022-07-19 Impact factor: 4.614
Authors: Ewelina Rogalska; Anna Kurasz; Łukasz Kuźma; Hanna Bachórzewska-Gajewska; Sławomir Dobrzycki; Marek Koziński; Bożena Sobkowicz; Anna Tomaszuk-Kazberuk Journal: Int J Environ Res Public Health Date: 2022-08-21 Impact factor: 4.614
Authors: Wanyanhan Jiang; Han Chen; Jiaqiang Liao; Xi Yang; Biao Yang; Yuqin Zhang; Xiaoqi Pan; Lulu Lian; Lian Yang Journal: Environ Health Date: 2022-01-19 Impact factor: 5.984