Acute coronary syndromes related to bio-climate in a Mediterranean area. The case of Ierapetra, Crete Island, Greece

Abstract

The occurrence of non-fatal acute coronary syndromes (ACS) is examined in relation with the local bioclimatic conditions in the Ierapetra area, in the southernmost part of Crete Island, Greece, during the period 2004-2007. Daily ACS counts and corresponding meteorological parameters, such as maximum and minimum air temperature, relative humidity, wind speed and cloudiness, were analyzed. Besides, the daily values of the human thermal index, physiologically equivalent temperature (PET) was evaluated. Pearson's χ(2) test and generalized linear models (GLM) with Poisson distribution were applied. The ACS syndromes present a multiple variation within the year, with the primary maximum in August and the secondary in May, while relative high ACS frequencies exist in early winter time. The impact of the weather variability on the ACS incidence is not statistically significant (C.L. 95%).

Association between apparent temperature and acute coronary syndrome admission in Rasht, Iran

“…This study indicated that the extremely hot temperatures increased the risk of ACS hospitalisation, but the cold temperature did not show any effect on ACS admission. This result is consistent with other investigations indicating hot weather is responsible for the most part of the temperature-related ACS admission 24. In contrast, a study reported the occurrence of acute myocardial infarction was associated with low temperatures,25 and the study conducted by Wolf et al 3 showed that the risk for the occurrence of myocardial infarction was similar in winters and summers, which was non-significant.…”

“…Our study showed seasonal variations in ACS admission so that the highest rate of admission was in summer. Consistent with this finding, Nastos et al 24 in Crete Island, Greece, reported the same pattern. In contrast, many other studies reported that the occurrence of myocardial infarction is associated with the winter season 28…”

Effects of Moderate Strength Cold Air Exposure on Blood Pressure and Biochemical Indicators among Cardiovascular and Cerebrovascular Patients

“…Each year approximately 95% of the cold air affecting China passes through Gansu Province. Adverse weather conditions have a strong impact on the local residents’ lives and health, especially cardiovascular disease patients [24,25]. …”

Şanliurfa İli̇’nde 2013-2015 Yillari Arasinda Bi̇yokli̇mati̇k Konfor Koşullari İle Doğal Ölüm Olaylari Arasindaki̇ İli̇şki̇ni̇n Araştirilmasi

“…The relationships between human health and climate conditions have attracted people's attention for a long time. For example, Hippocrates expressed that patients and illness reasons should be considered inside the living environment in his Corpus Hippocraticum named book in 460-377 BC (Nastos et al, 2013). The investigations which produced the connections between climate conditions and human health have started to be studied mostly in the last 50 years.…”