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Short-Term Effects of Ambient Air Pollution on ST-Elevation Myocardial Infarction Events: Are There Potentially Susceptible Groups?

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  • Hsiu-Yung Pan

    (Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung City 833, Taiwan
    Chang Gung University College of Medicine, Guishan District, Taoyuan City 333, Taiwan
    These authors contribute equally to this paper.)

  • Shun-Man Cheung

    (Department of Physical Medicine and Rehabilitation, Taitung Mackay Memorial Hospital, Taitung 950, Taiwan
    These authors contribute equally to this paper.)

  • Fu-Cheng Chen

    (Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung City 833, Taiwan
    Chang Gung University College of Medicine, Guishan District, Taoyuan City 333, Taiwan)

  • Kuan-Han Wu

    (Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung City 833, Taiwan
    Chang Gung University College of Medicine, Guishan District, Taoyuan City 333, Taiwan)

  • Shih-Yu Cheng

    (Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung City 833, Taiwan
    Chang Gung University College of Medicine, Guishan District, Taoyuan City 333, Taiwan)

  • Po-Chun Chuang

    (Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung City 833, Taiwan
    Chang Gung University College of Medicine, Guishan District, Taoyuan City 333, Taiwan)

  • Fu-Jen Cheng

    (Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung City 833, Taiwan
    Chang Gung University College of Medicine, Guishan District, Taoyuan City 333, Taiwan)

Abstract

Background: Air pollution exposure is associated with greater risk for cardiovascular events. This study aims to examine the effects of increased exposure to short-term air pollutants on ST-segment elevation myocardial infarction (STEMI) and determine the susceptible groups. Methods: Data on particulate matter PM2.5 and PM10 and other air pollutants, measured at each of the 11 air-quality monitoring stations in Kaohsiung City, were collected between 2011 and 2016. The medical records of non-trauma adult (>17 years) patients who had visited the emergency department (ED) with a typical electrocardiogram change of STEMI were extracted. A time-stratified and case-crossover study design was used to examine the relationship between air pollutants and daily ED visits for STEMI. Results: An interquartile range increment in PM2.5 on lag 0 was associated with an increment of 25.5% (95% confidence interval, 2.6%–53.4%) in the risk of STEMI ED visits. Men and persons with ≥3 risk factors (male sex, age, hypertension, diabetes, current smoker, dyslipidemia, history of myocardial infarction, and high body mass index) for myocardial infarction (MI) were more sensitive to the hazardous effects of PM2.5 (interaction: p = 0.039 and p = 0.018, respectively). The associations between PM10, NO2, and O3 and STEMI did not achieve statistical significance. Conclusion: PM2.5 may play an important role in STEMI events on the day of exposure in Kaohsiung. Men and persons with ≥3 risk factors of MI are more susceptible to the adverse effects of PM2.5 on STEMI.

Suggested Citation

  • Hsiu-Yung Pan & Shun-Man Cheung & Fu-Cheng Chen & Kuan-Han Wu & Shih-Yu Cheng & Po-Chun Chuang & Fu-Jen Cheng, 2019. "Short-Term Effects of Ambient Air Pollution on ST-Elevation Myocardial Infarction Events: Are There Potentially Susceptible Groups?," IJERPH, MDPI, vol. 16(19), pages 1-12, October.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3760-:d:273922
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    References listed on IDEAS

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    1. Ruixue Xia & Guopeng Zhou & Tong Zhu & Xueying Li & Guangfa Wang, 2017. "Ambient Air Pollution and Out-of-Hospital Cardiac Arrest in Beijing, China," IJERPH, MDPI, vol. 14(4), pages 1-11, April.
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    Cited by:

    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. Miguel Ángel Aguilar-Jurado & Pedro Gil-Madrona & Juan Francisco Ortega-Dato & David Zamorano-García, 2019. "Effects of an Educational Glass Recycling Program against Environmental Pollution in Spain," IJERPH, MDPI, vol. 16(24), pages 1-16, December.
    3. Yii-Ting Huang & Chien-Chih Chen & Yu-Ni Ho & Ming-Ta Tsai & Chih-Min Tsai & Po-Chun Chuang & Fu-Jen Cheng, 2021. "Short-Term Effects of Particulate Matter and Its Constituents on Emergency Room Visits for Chronic Obstructive Pulmonary Disease: A Time-Stratified Case-Crossover Study in an Urban Area," IJERPH, MDPI, vol. 18(9), pages 1-12, April.
    4. Ming-Ta Tsai & Yu-Ni Ho & Charng-Yen Chiang & Po-Chun Chuang & Hsiu-Yung Pan & I-Min Chiu & Chih-Min Tsai & Fu-Jen Cheng, 2021. "Effects of Fine Particulate Matter and Its Components on Emergency Room Visits for Pediatric Pneumonia: A Time-Stratified Case-Crossover Study," IJERPH, MDPI, vol. 18(20), pages 1-12, October.

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