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Acute Myocardial Infarction Hospitalizations between Cold and Hot Seasons in an Island across Tropical and Subtropical Climate Zones—A Population-Based Study

Author

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  • Min-Liang Chu

    (Institute of Medical Sciences, Tzu Chi University, Hualien 97004, Taiwan
    These authors contributed equally to this work.)

  • Chiao-Yu Shih

    (Department of Physical Therapy, Tzu Chi University, Hualien 97004, Taiwan
    These authors contributed equally to this work.)

  • Tsung-Cheng Hsieh

    (Institute of Medical Sciences, Tzu Chi University, Hualien 97004, Taiwan)

  • Han-Lin Chen

    (General Education Center, Tzu Chi University of Science and Technology, Hualien 97004, Taiwan)

  • Chih-Wei Lee

    (Department of Physical Therapy, Tzu Chi University, Hualien 97004, Taiwan)

  • Jen-Che Hsieh

    (Division of Cardiology, Tzu Chi Medical Center, Hualien Tzu Chi Medical Center, Hualien 97004, Taiwan)

Abstract

We investigated the effects of cold and hot seasons on hospital admissions for acute myocardial infarction (AMI) at the junction of tropical and subtropical climate zones. The hospitalization data of 6897 AMI patients from January 1997 to December 2011 were obtained from the database of the National Health Insurance, including date of admission, gender, age, and comorbidities of hypertension, diabetes mellitus (DM), and dyslipidemia. A comparison of AMI prevalence between seasons and the association of season-related AMI occurrences with individual variables were assessed. AMI hospitalizations in the cold season (cold-season-AMIs) were significantly greater than those in the hot season (OR 1.15; 95% CI 1.10–1.21). In the subtropical region, cold-season-AMIs were strongly and significantly associated with the ≥65 years group (OR1.28; 95% CI 1.11 to 1.48). In the tropical region, cold-season-AMIs, in association with dyslipidemia relative to non-dyslipidemia, were significantly strong in the non-DM group (OR 1.45; 95% CI 1.01 to 2.09) but weak in the DM group (OR 0.74; 95% CI 0.55 to 0.99). The cold season shows increased risks for AMI, markedly among the ≥65 years cohort in the subtropical region, and among the patients diagnosed with either DM or dyslipidemia but not both in the tropical region. Age and comorbidity of metabolic dysfunction influence the season-related incidences of AMI in different climatic regions.

Suggested Citation

  • Min-Liang Chu & Chiao-Yu Shih & Tsung-Cheng Hsieh & Han-Lin Chen & Chih-Wei Lee & Jen-Che Hsieh, 2019. "Acute Myocardial Infarction Hospitalizations between Cold and Hot Seasons in an Island across Tropical and Subtropical Climate Zones—A Population-Based Study," IJERPH, MDPI, vol. 16(15), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:15:p:2769-:d:254337
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    References listed on IDEAS

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    1. Xerxes T. Seposo & Tran Ngoc Dang & Yasushi Honda, 2017. "How Does Ambient Air Temperature Affect Diabetes Mortality in Tropical Cities?," IJERPH, MDPI, vol. 14(4), pages 1-10, April.
    2. Rochelle Green & Rupa Basu & Brian Malig & Rachel Broadwin & Janice Kim & Bart Ostro, 2010. "The effect of temperature on hospital admissions in nine California counties," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(2), pages 113-121, April.
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    Cited by:

    1. Chiao-Yu Shih & Min-Liang Chu & Tsung-Cheng Hsieh & Han-Lin Chen & Chih-Wei Lee, 2020. "Acute Myocardial Infarction among Young Adult Men in a Region with Warm Climate: Clinical Characteristics and Seasonal Distribution," IJERPH, MDPI, vol. 17(17), pages 1-9, August.
    2. Hsiu-Ju Huang & Chih-Wei Lee & Tse-Hsi Li & Tsung-Cheng Hsieh, 2021. "Different Patterns in Ranking of Risk Factors for the Onset Age of Acute Myocardial Infarction between Urban and Rural Areas in Eastern Taiwan," IJERPH, MDPI, vol. 18(11), pages 1-11, May.

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