@article{article_442918, title={The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction}, journal={Akademik Araştırma Tıp Dergisi}, volume={1}, pages={93–99}, year={2017}, url={https://izlik.org/JA42UU92YB}, author={Kayıpmaz, Afsin Emre and Çiftçi, Orcun and Kavalcı, Cemil}, keywords={Air pollution,meteorology,myocardial infarction}, abstract={<p class="p1"> <span style="font-size: 18px;"> <b>Objective </b> </span> </p> <p class="p2"> <span style="font-size: 18px;">An important source of mortality and morbidity, the incidence  </span> <span style="font-size: 18px;">of ST-segment elevation myocardial infarction  </span> <span style="font-size: 18px;">(STEMI), is increased by definite risk factors. The need  </span> <span style="font-size: 18px;">to establish the role of a comprehensive list of meteorological  </span> <span style="font-size: 18px;">and air pollution parameters on STEMI is ongoing.  </span> <span style="font-size: 18px;">Herein, we aimed to determine the role of several meteorological  </span> <span style="font-size: 18px;">events and air pollution parameters on the rate  </span> <span style="font-size: 18px;">of STEMI. </span> </p> <p class="p1"> <span style="font-size: 18px;"> <b>Materials and Methods </b> </span> </p> <p class="p2"> <span style="font-size: 18px;">This retrospective study was approved by the Baskent University  </span> <span style="font-size: 18px;">Medical and Health Sciences Research Committee (Project  </span> <span style="font-size: 18px;">No: KA 16/176; Date of approval: 26.04.2016). It included  </span> <span style="font-size: 18px;">patients who presented to the Adult Emergency Department  </span> <span style="font-size: 18px;">of Baskent University Ankara Hospital and who were diagnosed  </span> <span style="font-size: 18px;">with STEMI between April 2011 and December 2015. </span> </p> <p class="p1"> <span style="font-size: 18px;"> <b>Results </b> </span> </p> <p class="p2"> <span style="font-size: 18px;">During the 1709-day study window, 246 patients presented  </span> <span style="font-size: 18px;">with STEMI. No significant correlation was found  </span> <span style="font-size: 18px;">between weather events and STEMI incidence.  </span> <span style="font-size: 18px;">According to a four-day lag analysis of the effects of meteorological  </span> <span style="font-size: 18px;">variables on STEMI incidence, no significant  </span> <span style="font-size: 18px;">differences existed between maximum, average and minimum  </span> <span style="font-size: 18px;">air temperature and pressure levels. In contrast,  </span> <span style="font-size: 18px;">minimum humidity was positively correlated to STEMI  </span> <span style="font-size: 18px;">admission at lag2 (odds ratio [OR] 95%; confidence interval  </span> <span style="font-size: 18px;">[CI] 0.986 [0.972–0.999]; p = 0.036). Among the air  </span> <span style="font-size: 18px;">pollution parameters, only nitric oxide (OR 0.992; CI 95%  </span> <span style="font-size: 18px;">[0.987–0.998]; p = 0.006) and nitrogen oxide (OR 0.994; CI  </span> <span style="font-size: 18px;">95% [0.990–0.999]; p = 0.010) were significantly correlated  </span> <span style="font-size: 18px;">to STEMI incidence at lag2. </span> </p> <p class="p1"> <span style="font-size: 18px;"> <b>Conclusion </b> </span> </p> <p class="p2"> <span style="font-size: 18px;">Our study clearly demonstrated that air pollution is correlated  </span> <span style="font-size: 18px;">to increased STEMI admission. Believe that improving  </span> <span style="font-size: 18px;">the environment and conducting preventive healthcare  </span> <span style="font-size: 18px;">would reduce the incidence of STEMI. </span> </p> <style type="text/css"> <span style="font-size: 18px;"> 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} </span> </style>}, number={3}