Environmental triggers of acute myocardial infarction: results of a nationwide multiple-factorial population study.
Identifieur interne : 000024 ( Main/Corpus ); précédent : 000023; suivant : 000025Environmental triggers of acute myocardial infarction: results of a nationwide multiple-factorial population study.
Auteurs : Marc J. Claeys ; Sarah Coenen ; Charlotte Colpaert ; Joke Bilcke ; Phillip Beutels ; Kristien Wouters ; Victor Legrand ; Pierre Van Damme ; Christiaan VrintsSource :
- Acta cardiologica [ 0001-5385 ] ; 2015.
English descriptors
- KwdEn :
- Aged, Belgium (epidemiology), Electrocardiography, Environmental Exposure (adverse effects), Female, Follow-Up Studies, Humans, Incidence, Male, Middle Aged, Myocardial Infarction (epidemiology), Myocardial Infarction (etiology), Myocardial Infarction (surgery), Percutaneous Coronary Intervention (methods), Population Surveillance (methods), Retrospective Studies, Risk Assessment (methods), Risk Factors, Survival Rate (trends).
- MESH :
- geographic , epidemiology : Belgium.
- adverse effects : Environmental Exposure.
- epidemiology : Myocardial Infarction.
- etiology : Myocardial Infarction.
- methods : Percutaneous Coronary Intervention, Population Surveillance, Risk Assessment.
- surgery : Myocardial Infarction.
- trends : Survival Rate.
- Aged, Electrocardiography, Female, Follow-Up Studies, Humans, Incidence, Male, Middle Aged, Retrospective Studies, Risk Factors.
Abstract
OBJECTIVE
The objective of this study was to study the independent environmental triggers of ST-elevation myocardial infarction (STEMI) in a multifactorial environmental population model.
METHODS AND RESULTS
Daily counts of all STEMI patients who underwent urgent percutaneous coronary intervention over the period 2006-2009 in Belgium were associated with average daily meteorological data and influenza-like illness incidence data. The following meteorological measures were investigated: particulate matter less than 10 μM (PM10) and less than 2.5 μM (PM(2.5)), ozone, black smoke, temperature and relative humidity. During the study period a total of 15,964 STEMI patients (mean age 63, 75% male) were admitted with a daily average admission rate of 11 ± 4 patients. A multivariate Poisson regression analysis showed that only the temperature was significantly correlated with STEMI, with an 8% increase in the risk of STEMI for each 10°C decrease in temperature (adjusted incidence risk ratio (IRR) 0.92, 95% CI 0.89-0.96). The effects of temperature were consistent among several subpopulations but the strongest effect was seen in diabetic patients (IRR 0.85, 95% CI 0.78 -0.95). There was a trend for an incremental risk of STEMI for each 10 μg/m³ PM(2.5) increase and during influenza epidemics with IRR of 1.02 (95% CI 1.00-1.04) and 1.07 (95% CI 0.98-1.16), respectively.
CONCLUSION
In a global environmental model, low temperature is the most important environmental trigger for STEMI, whereas air pollution and influenza epidemics only seem to have a modest effect.
DOI: 10.2143/AC.70.6.3120182
PubMed: 26717218
Links to Exploration step
pubmed:26717218Le document en format XML
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<author><name sortKey="Coenen, Sarah" sort="Coenen, Sarah" uniqKey="Coenen S" first="Sarah" last="Coenen">Sarah Coenen</name>
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<author><name sortKey="Colpaert, Charlotte" sort="Colpaert, Charlotte" uniqKey="Colpaert C" first="Charlotte" last="Colpaert">Charlotte Colpaert</name>
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<author><name sortKey="Bilcke, Joke" sort="Bilcke, Joke" uniqKey="Bilcke J" first="Joke" last="Bilcke">Joke Bilcke</name>
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<author><name sortKey="Beutels, Phillip" sort="Beutels, Phillip" uniqKey="Beutels P" first="Phillip" last="Beutels">Phillip Beutels</name>
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<term>Myocardial Infarction (etiology)</term>
<term>Myocardial Infarction (surgery)</term>
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<term>Population Surveillance (methods)</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>The objective of this study was to study the independent environmental triggers of ST-elevation myocardial infarction (STEMI) in a multifactorial environmental population model.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS AND RESULTS</b>
</p>
<p>Daily counts of all STEMI patients who underwent urgent percutaneous coronary intervention over the period 2006-2009 in Belgium were associated with average daily meteorological data and influenza-like illness incidence data. The following meteorological measures were investigated: particulate matter less than 10 μM (PM10) and less than 2.5 μM (PM(2.5)), ozone, black smoke, temperature and relative humidity. During the study period a total of 15,964 STEMI patients (mean age 63, 75% male) were admitted with a daily average admission rate of 11 ± 4 patients. A multivariate Poisson regression analysis showed that only the temperature was significantly correlated with STEMI, with an 8% increase in the risk of STEMI for each 10°C decrease in temperature (adjusted incidence risk ratio (IRR) 0.92, 95% CI 0.89-0.96). The effects of temperature were consistent among several subpopulations but the strongest effect was seen in diabetic patients (IRR 0.85, 95% CI 0.78 -0.95). There was a trend for an incremental risk of STEMI for each 10 μg/m³ PM(2.5) increase and during influenza epidemics with IRR of 1.02 (95% CI 1.00-1.04) and 1.07 (95% CI 0.98-1.16), respectively.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>In a global environmental model, low temperature is the most important environmental trigger for STEMI, whereas air pollution and influenza epidemics only seem to have a modest effect.</p>
</div>
</front>
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<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Daily counts of all STEMI patients who underwent urgent percutaneous coronary intervention over the period 2006-2009 in Belgium were associated with average daily meteorological data and influenza-like illness incidence data. The following meteorological measures were investigated: particulate matter less than 10 μM (PM10) and less than 2.5 μM (PM(2.5)), ozone, black smoke, temperature and relative humidity. During the study period a total of 15,964 STEMI patients (mean age 63, 75% male) were admitted with a daily average admission rate of 11 ± 4 patients. A multivariate Poisson regression analysis showed that only the temperature was significantly correlated with STEMI, with an 8% increase in the risk of STEMI for each 10°C decrease in temperature (adjusted incidence risk ratio (IRR) 0.92, 95% CI 0.89-0.96). The effects of temperature were consistent among several subpopulations but the strongest effect was seen in diabetic patients (IRR 0.85, 95% CI 0.78 -0.95). There was a trend for an incremental risk of STEMI for each 10 μg/m³ PM(2.5) increase and during influenza epidemics with IRR of 1.02 (95% CI 1.00-1.04) and 1.07 (95% CI 0.98-1.16), respectively.</AbstractText>
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