SavedAdd your journal

Journals / Akademik Araştırma Tıp Dergisi / 2016 / Cilt: 1 Sayı: 3

The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction

Meteorolojik Olayların ve Hava Kirliliğinin ST Elevasyonlu Miyokard İnfarktüsü Oluşumuna Etkisi

Afsin Emre Kayıpmaz(Baskent University Faculty of Medicine, Department of Emergency)
Orcun Çiftçi(BAŞKENT ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, KARDİYOLOJİ ANABİLİM DALI)
Cemil Kavalcı(Baskent University Faculty of Medicine, Department of Emergency)
Pages
93–99
Publication Date
2017-10-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Believe that improving  the environment and conducting preventive healthcare  would reduce the incidence of STEMI. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 8.0px Times; color: #6b6a6a} p.p2 {margin: 0.0px 0.0px 0.0px 0.0px; font: 8.0px Helvetica; color: #6b6a6a}

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective An important source of mortality and morbidity, the incidence  of ST-segment elevation myocardial infarction  (STEMI), is increased by definite risk factors.
📊
Key Findings & Data:The need  to establish the role of a comprehensive list of meteorological  and air pollution parameters on STEMI is ongoing.  Herein, we aimed to determine the role of several meteorological  events and air pollution parameters on the rate  of STEMI.
💡
Conclusion & Impact:Believe that improving  the environment and conducting preventive healthcare  would reduce the incidence of STEMI. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 8.0px Times; color: #6b6a6a} p.p2 {margin: 0.0px 0.0px 0.0px 0.0px; font: 8.0px Helvetica; color: #6b6a6a}
🔬Design:Research Article
📍Scope:2016 Verileri
⚙️Variables:ava kirliliği · meteoroloji · miyokard infarktüsu

Abstract

Objective An important source of mortality and morbidity, the incidence  of ST-segment elevation myocardial infarction  (STEMI), is increased by definite risk factors. The need  to establish the role of a comprehensive list of meteorological  and air pollution parameters on STEMI is ongoing.  Herein, we aimed to determine the role of several meteorological  events and air pollution parameters on the rate  of STEMI. Materials and Methods This retrospective study was approved by the Baskent University  Medical and Health Sciences Research Committee (Project  No: KA 16/176; Date of approval: 26.04.2016). It included  patients who presented to the Adult Emergency Department  of Baskent University Ankara Hospital and who were diagnosed  with STEMI between April 2011 and December 2015. Results During the 1709-day study window, 246 patients presented  with STEMI. No significant correlation was found  between weather events and STEMI incidence.  According to a four-day lag analysis of the effects of meteorological  variables on STEMI incidence, no significant  differences existed between maximum, average and minimum  air temperature and pressure levels. In contrast,  minimum humidity was positively correlated to STEMI  admission at lag2 (odds ratio [OR] 95%; confidence interval  [CI] 0.986 [0.972–0.999]; p = 0.036). Among the air  pollution parameters, only nitric oxide (OR 0.992; CI 95%  [0.987–0.998]; p = 0.006) and nitrogen oxide (OR 0.994; CI  95% [0.990–0.999]; p = 0.010) were significantly correlated  to STEMI incidence at lag2. Conclusion Our study clearly demonstrated that air pollution is correlated  to increased STEMI admission. Believe that improving  the environment and conducting preventive healthcare  would reduce the incidence of STEMI. p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 8.0px Times; color: #6b6a6a} p.p2 {margin: 0.0px 0.0px 0.0px 0.0px; font: 8.0px Helvetica; color: #6b6a6a}

Özet

p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 8.0px Helvetica; color: #6b6a6a} p.p2 {margin: 0.0px 0.0px 0.0px 0.0px; font: 8.0px Times; color: #6b6a6a} span.s1 {font: 8.0px Times} Giriş Mortalite ve morbiditenin önemli bir kaynağı olan ST-segment  elevasyonlu miyokard infarktüsünün (STEMI) insidansı,  belirli risk faktörleri nedeniyle artmaktadır. Meteorolojik  ve hava kirliliği parametrelerinin STEMI üzerine  rolünün kapsamlı bir listesinin saptanmasına ihtiyaç devam etmektedir. Bu noktada, çeşitli meteorolojik olayların  ve hava kirliliği parametrelerinin STEMI oranına etkisini  ortaya koymayı amaçladık. Gereç ve Yöntem Bu retrospektif çalışma STEMI tanısı almış hastaları kapsamaktadır.  Hastalara ait demografik veriler, Ankara için  günlük hava sıcaklıkları (°C), nem (%), deniz seviyesindeki  hava basıncı (hPa), hava olayları (yağmur, kar, sis, fırtına,  dolu) ve hava kirliliği verileri elde edildi. Sonuçlar 1709 günlük çalışma periyodunda 246 hasta STEMI ile başvurdu.  Hava olayları ve STEMI insidansı arasında istatistiksel  olarak anlamlı fark yoktu. Meteorolojik değişkenlerin  STEMI insidansı üzerine etkilerinin 4 günlük lag analizine  göre maksimum, ortalama ve minimum hava sıcaklığı ve  basıncı seviyeleri arasında anlamlı fark saptanmadı. Buna  karşın minimum nem, STEMI başvurularıyla lag2’de pozitif  yönde koreleydi (odds oranı [OR] 95%; güven aralığı  [CI] 0.986 [0.972–0.999]; p = 0.036). Hava kirliliği parametreleri  arasında yalnızca nitrik oksit (OR 0.992; CI 95% [0.987–0.998]; p =0.006) ve nitrojen oksit (OR 0.994; CI  95% [0.990–0.999]; p = 0.010) lag2’de STEMI insidansı ile  anlamlı biçimde koreleydi. Sonuç Çalışmamızın sonuçları hava kirliliğinin artmış STEMI  başvurularıyla korele olduğunu açıkça ortaya koymuştur.  Çevreyle ilgili iyileştirme çalışmalarının ve koruyucu  sağlık hizmetlerinin yürütülmesinin STEMI insidansını  azaltacağına inanmaktayız.

🔖

Cite This Article

Kayıpmaz, A. E., Çiftçi, O., Kavalcı, C. (2017). The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction. Akademik Araştırma Tıp Dergisi, Cilt: 1 Sayı: 3, 93–99. https://ajindex.com/articles/981422

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Nawrot TS, Perez L, Kunzli N, Munters E, Nemery B. Public health importance of triggers of myocardial infarction: a comparative risk assessment. Lancet 2011; 377: 732-40.
  2. Shaposhnikov D, Revich B, Gurfinkel Y, Naumova E. The influence of meteorological and geomagnetic factors on acute myocardial infarction and brain stroke in Moscow, Russia. Int J Biometeorol 2014; 58: 799-808.
  3. Caussin C, Escolano S, Mustafic H, et al. Short-term exposure to environmental parameters and onset of ST elevation myocardial infarction. The CARDIO-ARSIF registry. Int J Cardiol 2015; 183: 17-23.
  4. Claeys MJ, Coenen S, Colpaert C, et al. Environmental triggers of acute myocardial infarction: results of a nationwide multiple-factorial population study. Acta Cardiol 2015; 70: 693-701.
  5. Sen T, Astarcioglu MA, Asarcikli LD, et al. The effects of air pollution and weather conditions on the incidence of acute myocardial infarction. Am J Emerg Med 2016; 34: 449-54.
  6. Amiya S, Nuruki N, Tanaka Y, et al. Relationship between weather and onset of acute myocardial infarction: can days of frequent onset be predicted? J Cardiol 2009; 54: 231-7.
  7. Honda T, Fujimoto K, Miyao Y. Influence of weather conditions on the frequent onset of acute myocardial infarction. J Cardiol 2016; 67: 42-50.
  8. Lin S, Soim A, Gleason KA, Hwang SA. Association Between Low temperature During Winter Season and Hospitalizations for Ischemic Heart Diseases in New York State. J Environ Health 2016; 78: 66-74.
  9. Danet S, Richard F, Montaye M, et al. Unhealthy effects of atmospheric temperature and pressure on the occurrence of myocardial infarction and coronary deaths. A 10-year survey: the Lille-World Health Organization MONICA project (Monitoring trends and determinants in cardiovascular disease). Circulation 1999; 100: E1-7.
  10. Yildiz A, Sezen Y, Gunebakmaz O, et al. Association of Meteorological Variables and Coronary Blood Flow. Clin Appl Thromb Hemost 2015; 21: 570-8.
  11. Wang XD, Zhang XM, Zhuang SW, et al. Short-term effects of air pollution on acute myocardial infarctions in Shanghai, China, 2013-2014. J Geriatr Cardiol 2016; 13: 132-7.
  12. Goggins WB, Chan EY, Yang CY. Weather, pollution, and acute myocardial infarction in Hong Kong and Taiwan. Int J Cardiol 2013; 168: 243-9.
  13. Ebi KL, Exuzides KA, Lau E, et al. Weather changes associated with hospitalizations for cardiovascular diseases and stroke in California, 1983-1998. Int J Biometeorol 2004; 49: 48-58.
  14. Radišauskas R, Bernotienė G, Bacevičienė M, et al. Trends of myocardial infarction morbidity and its associations with weather conditions. Medicina (Kaunas) 2014; 50: 182-9.
  15. Cevik Y, Dogan NO, Das M, et al. The association between weather conditions and stroke admissions in Turkey. Int J Biometeorol 2015; 59: 899-905. 16. Pinkerton KE, Rom WN, Carlsten C, et al. Turk Thorac J 2013; 14: 115-22.