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Short-Term Exposure to Air Pollution and Cardiac Arrhythmia: A Meta-Analysis and Systematic Review

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  • Xuping Song

    (Key Laboratory for Semi-Arid Climate Change of the Ministry of Education, College of Atmospheric Sciences, Lanzhou University, Lanzhou 730000, China
    Center for Meteorological Environment and Human Health, Lanzhou University, Lanzhou 730000, China)

  • Yu Liu

    (School of Public Health, Lanzhou University, Lanzhou 730000, China)

  • Yuling Hu

    (Key Laboratory for Semi-Arid Climate Change of the Ministry of Education, College of Atmospheric Sciences, Lanzhou University, Lanzhou 730000, China
    Center for Meteorological Environment and Human Health, Lanzhou University, Lanzhou 730000, China)

  • Xiaoyan Zhao

    (Key Laboratory for Semi-Arid Climate Change of the Ministry of Education, College of Atmospheric Sciences, Lanzhou University, Lanzhou 730000, China
    Center for Meteorological Environment and Human Health, Lanzhou University, Lanzhou 730000, China)

  • Jinhui Tian

    (Evidence Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China)

  • Guowu Ding

    (School of Public Health, Lanzhou University, Lanzhou 730000, China)

  • Shigong Wang

    (Key Laboratory for Semi-Arid Climate Change of the Ministry of Education, College of Atmospheric Sciences, Lanzhou University, Lanzhou 730000, China
    Center for Meteorological Environment and Human Health, Lanzhou University, Lanzhou 730000, China
    College of Atmospheric Sciences, Chengdu University of Information Technology, Chengdu 610225, China)

Abstract

The objective was to assess the transient association between air pollution and cardiac arrhythmia. Five databases were searched for studies investigating the association between daily increases in air pollutants (PM 2.5 , PM 10 , carbon monoxide, nitrogen dioxide, sulfur dioxide and ozone) and arrhythmia hospitalization or arrhythmia mortality. Two reviewers independently selected studies, extracted data, and assessed risk of bias. Outcomes were analyzed via a random-effects model and reported as relative risk and 95% confidence interval. 25 studies satisfied our inclusion criteria and 23 contributed to the meta-analysis. Arrhythmia hospitalization or mortality were associated with increases in PM 2.5 (RR = 1.015 per 10 μg/m 3 , 95% CI: 1.006–1.024), PM 10 (RR = 1.009 per 10 μg/m 3 , 95% CI: 1.004–1.014), carbon monoxide (RR = 1.041 per 1 ppm, 95% CI: 1.017–1.065), nitrogen dioxide (RR = 1.036 per 10 ppb, 95% CI: 1.020–1.053), and sulfur dioxide (RR = 1.021 per 10 ppb, 95% CI: 1.003–1.039), but not ozone (RR = 1.012 per 10 ppb, 95% CI: 0.997–1.027). Both particulate and gaseous components, with the exception of ozone, have a temporal association with arrhythmia hospitalization or mortality. Compared with Europe and North America, a stronger association was noted in Asia.

Suggested Citation

  • Xuping Song & Yu Liu & Yuling Hu & Xiaoyan Zhao & Jinhui Tian & Guowu Ding & Shigong Wang, 2016. "Short-Term Exposure to Air Pollution and Cardiac Arrhythmia: A Meta-Analysis and Systematic Review," IJERPH, MDPI, vol. 13(7), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:7:p:642-:d:72882
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    References listed on IDEAS

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    Cited by:

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    2. David Rojas-Rueda & Emily Morales-Zamora & Wael Abdullah Alsufyani & Christopher H. Herbst & Salem M. AlBalawi & Reem Alsukait & Mashael Alomran, 2021. "Environmental Risk Factors and Health: An Umbrella Review of Meta-Analyses," IJERPH, MDPI, vol. 18(2), pages 1-38, January.
    3. Xu Meng & Ying Zhang & Kun-Qi Yang & Yan-Kun Yang & Xian-Liang Zhou, 2016. "Potential Harmful Effects of PM 2.5 on Occurrence and Progression of Acute Coronary Syndrome: Epidemiology, Mechanisms, and Prevention Measures," IJERPH, MDPI, vol. 13(8), pages 1-16, July.
    4. Bingkui Qiu & Min Zhou & Yang Qiu & Yuxiang Ma & Chaonan Ma & Jiating Tu & Siqi Li, 2021. "An Integration Method for Regional PM 2.5 Pollution Control Optimization Based on Meta-Analysis and Systematic Review," IJERPH, MDPI, vol. 19(1), pages 1-22, December.
    5. Jiyao Sun & Andrew J. Barnes & Dongyang He & Meng Wang & Jian Wang, 2017. "Systematic Review and Meta-Analysis of the Association between Ambient Nitrogen Dioxide and Respiratory Disease in China," IJERPH, MDPI, vol. 14(6), pages 1-16, June.
    6. Spiru Paraschiv & Daniel-Eduard Constantin & Simona-Lizica Paraschiv & Mirela Voiculescu, 2017. "OMI and Ground-Based In-Situ Tropospheric Nitrogen Dioxide Observations over Several Important European Cities during 2005–2014," IJERPH, MDPI, vol. 14(11), pages 1-10, November.

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