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

Yıl 2016, Cilt: 1 Sayı: 3, 93 - 99, 05.10.2017

Öz

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.

Kaynakça

  • 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.

Meteorolojik Olayların ve Hava Kirliliğinin ST Elevasyonlu Miyokard İnfarktüsü Oluşumuna Etkisi

Yıl 2016, Cilt: 1 Sayı: 3, 93 - 99, 05.10.2017

Öz




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.



Kaynakça

  • 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.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Makaleler
Yazarlar

Afsin Emre Kayıpmaz Bu kişi benim

Orcun Çiftçi Bu kişi benim

Cemil Kavalcı Bu kişi benim

Yayımlanma Tarihi 5 Ekim 2017
Yayımlandığı Sayı Yıl 2016 Cilt: 1 Sayı: 3

Kaynak Göster

APA 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, 1(3), 93-99.
AMA Kayıpmaz AE, Çiftçi O, Kavalcı C. The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction. AATD. Ekim 2017;1(3):93-99.
Chicago Kayıpmaz, Afsin Emre, Orcun Çiftçi, ve Cemil Kavalcı. “The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction”. Akademik Araştırma Tıp Dergisi 1, sy. 3 (Ekim 2017): 93-99.
EndNote Kayıpmaz AE, Çiftçi O, Kavalcı C (01 Ekim 2017) The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction. Akademik Araştırma Tıp Dergisi 1 3 93–99.
IEEE A. E. Kayıpmaz, O. Çiftçi, ve C. Kavalcı, “The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction”, AATD, c. 1, sy. 3, ss. 93–99, 2017.
ISNAD Kayıpmaz, Afsin Emre vd. “The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction”. Akademik Araştırma Tıp Dergisi 1/3 (Ekim 2017), 93-99.
JAMA Kayıpmaz AE, Çiftçi O, Kavalcı C. The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction. AATD. 2017;1:93–99.
MLA Kayıpmaz, Afsin Emre vd. “The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction”. Akademik Araştırma Tıp Dergisi, c. 1, sy. 3, 2017, ss. 93-99.
Vancouver Kayıpmaz AE, Çiftçi O, Kavalcı C. The Effect of Meteorological Events and Air Pollution on the Occurrence of ST Elevation Myocardial Infarction. AATD. 2017;1(3):93-9.