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Association between Air Pollution and Emergency Room Visits for Atrial Fibrillation

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  • Angelo G. Solimini

    (Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazza A. Moro 5, 00185 Roma, Italy)

  • Matteo Renzi

    (Department of Epidemiology, Lazio Regional Health Service, ASL Rome 1, 00147 Rome, Italy)

Abstract

Despite the large prevalence in the population, possible factors responsible for the induction of atrial fibrillation (AF) events in susceptible individuals remain incompletely understood. We investigated the association between air pollution levels and emergency department admissions for AF in Rome. We conducted a 14 years’ time-series study to evaluate the association between the daily levels of air pollution (particulate matter, PM 10 and PM 2.5 , and nitrogen dioxide, NO 2 ) and the daily count of emergency accesses for AF (ICD-9 code: 427.31). We applied an over-dispersed conditional Poisson model to analyze the associations at different lags after controlling for time, influenza epidemics, holiday periods, temperature, and relative humidity. Additionally, we evaluated bi-pollutant models by including the other pollutant and the influence of several effect modifiers such as personal characteristics and pre-existing medical conditions. In the period of study, 79,892 individuals were admitted to the emergency departments of Rome hospitals because of AF (on average, 15.6 patients per day: min = 1, max = 36). Air pollution levels were associated with increased AF emergency visits within 24 h of exposure. Effect estimates ranged between 1.4% (0.7–2.3) for a 10 µg/m 3 increase of PM 10 to 3% (1.4–4.7) for a 10 µg/m 3 increase of PM 2.5 at lag 0–1 day. Those effects were higher in patients ≥75 years for all pollutants, male patients for PM 10 , and female patients for NO 2 . The presence of previous cardiovascular conditions, but not other effect modifiers, increase the pollution effects by 5–8% depending on the lag. This study found evidence that air pollution is associated with AF emergency visits in the short term.

Suggested Citation

  • Angelo G. Solimini & Matteo Renzi, 2017. "Association between Air Pollution and Emergency Room Visits for Atrial Fibrillation," IJERPH, MDPI, vol. 14(6), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:6:p:661-:d:101971
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    References listed on IDEAS

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    1. Gasparrini, Antonio, 2011. "Distributed Lag Linear and Non-Linear Models in R: The Package dlnm," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 43(i08).
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    1. Salvatore Fasola & Sara Maio & Sandra Baldacci & Stefania La Grutta & Giuliana Ferrante & Francesco Forastiere & Massimo Stafoggia & Claudio Gariazzo & Camillo Silibello & Giuseppe Carlino & Giovanni , 2021. "Short-Term Effects of Air Pollution on Cardiovascular Hospitalizations in the Pisan Longitudinal Study," IJERPH, MDPI, vol. 18(3), pages 1-17, January.
    2. Elisa Gallo & Franco Folino & Gianfranco Buja & Gabriele Zanotto & Daniele Bottigliengo & Rosanna Comoretto & Elena Marras & Giuseppe Allocca & Diego Vaccari & Gianni Gasparini & Emanuele Bertaglia & , 2020. "Daily Exposure to Air Pollution Particulate Matter Is Associated with Atrial Fibrillation in High-Risk Patients," IJERPH, MDPI, vol. 17(17), pages 1-10, August.
    3. Chaiwat Bumroongkit & Chalerm Liwsrisakun & Athavudh Deesomchok & Chaicharn Pothirat & Theerakorn Theerakittikul & Atikun Limsukon & Konlawij Trongtrakul & Pattraporn Tajarernmuang & Nutchanok Niyatiw, 2022. "Correlation of Air Pollution and Prevalence of Acute Pulmonary Embolism in Northern Thailand," IJERPH, MDPI, vol. 19(19), pages 1-11, October.
    4. Maria Di Cicco & Ester Del Tufo & Salvatore Fasola & Serena Gracci & Maria Giovanna Marchi & Luca Fibbi & Giovanna Cilluffo & Giuliana Ferrante & Diego G. Peroni & Stefania La Grutta, 2022. "The Effect of Outdoor Aeroallergens on Asthma Hospitalizations in Children in North-Western Tuscany, Italy," IJERPH, MDPI, vol. 19(6), pages 1-13, March.

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