Analysis of the heat- and cold-related cardiovascular mortality in an urban mediterranean environment through various thermal indices

Psistaki, Kyriaki; Dokas, Ioannis M.; Paschalidou, Anastasia Κ.

doi:10.1016/j.envres.2022.114831

Cited by 10 publications

(11 citation statements)

References 87 publications

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“…In agreement with other studies [15,24,43,47,57,67,68,73,79], although the highest relative risks of cardiorespiratory mortality were estimated under extreme temperatures, moderate thermal conditions, and especially moderate cold, caused the highest burden of mortality in EMT. These findings do not come as a surprise, as in our study extremely cold and hot days comprised only 2.04% of the total days.…”

Section: Discussionsupporting

confidence: 92%

“…MMT is generally cause-specific and varies across regions following a decreasing trend with latitude [22][23][24]57,66,75] which indicates some population adaptability to the local climate. In recent work, Psistaki et al (2023) observed a reverse J-shaped relationship between thermal stress and cardiovascular mortality for the overall population in Thessaloniki (Greece) and defined the MMT at 25.4 • C [68]. Furthermore, Kouis et al (2019) reported that heat-related mortality from respiratory and cardiovascular causes in Thessaloniki starts when the temperature exceeds the threshold of 33 • C [3].…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, the Mediterranean basin already experiences 1.5 • C higher surface temperature compared to pre-industrial times and future projections demonstrate steadily increasing temperatures, more intense, frequent, and long heat waves, as well as a decrease, but no elimination, of cold spells [37,59,60]. Regarding Greece, the vast majority of existing literature is focused on the two largest urban centers, Athens and Thessaloniki e.g., [4,[61][62][63][64][65][66][67][68]. However, the impact of thermal stress has not been explored in other parts of the country.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Ambient Temperature on Cardiorespiratory Mortality in Northern Greece

Psistaki

Dokas

Paschalidou

2022

IJERPH

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It is well-established that exposure to non-optimum temperatures adversely affects public health, with the negative impact varying with latitude, as well as various climatic and population characteristics. This work aims to assess the relationship between ambient temperature and mortality from cardiorespiratory diseases in Eastern Macedonia and Thrace, in Northern Greece. For this, a standard time-series over-dispersed Poisson regression was fit, along with a distributed lag nonlinear model (DLNM), using a maximum lag of 21 days, to capture the non-linear and delayed temperature-related effects. A U-shaped relationship was found between temperature and cardiorespiratory mortality for the overall population and various subgroups and the minimum mortality temperature was observed around the 65th percentile of the temperature distribution. Exposure to extremely high temperatures was found to put the highest risk of cardiorespiratory mortality in all cases, except for females which were found to be more sensitive to extreme cold. It is remarkable that the highest burden of temperature-related mortality was attributed to moderate temperatures and primarily to moderate cold. The elderly were found to be particularly susceptible to both cold and hot thermal stress. These results provide new evidence on the health response of the population to low and high temperatures and could be useful to local authorities and policy-makers for developing interventions and prevention strategies for reducing the adverse impact of ambient temperature.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Impact of Ambient Temperature on Cardiorespiratory Mortality in Northern Greece

Psistaki

Dokas

Paschalidou

2022

IJERPH

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“…Global warming is claimed to be an important cardiovascular disease risk factor, especially in a rapidly aging population [1]. There is growing evidence for heat effects on increased cardiovascular mortality [2][3][4]. Exposure to high temperatures can be regarded as caus-ative factors of ischaemic heart disease, stroke, heart failure, and arrhythmia as the body's response to heat include dehydration, hypercoagulability, and systemic inflammatory response [5].…”

Section: Introductionmentioning

confidence: 99%

Coronary artery culprit lesions progression and ambient temperature exposure – personalised analysis

Urbanowicz,

Skotak,

Lesiak

et al. 2024

pwki

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Introduction: Global warming is claimed to be an important cardiovascular disease risk factor. The air pollution and ambient temperatures are believed to have a significant influence on increased morbidity and premature deaths.Aim: To point out possible causative factors for coronary angiography progression in patients presenting with chronic coronary syndrome.Material and methods: There were 66 patients (41 [62%] men and 25 [38%] women) with a median age of 71.5 (62-76) years, who underwent repeated coronary angiographies due to chronic coronary syndrome within a median time interval of 145 (96-296) days. In 18 (27%) patients coronary artery lesion progression was observed despite optimal pharmacotherapy. The demographical, clinical, and personalised epidemiological factors including air pollution particles and ambient temperature exposure were taken into account in the analysis.Results: In the multivariate logistic regression model with backward stepwise elimination method, tropical nights (p = 0.047) and mean daily temperatures (p = 0.043) were revealed as predictors of coronary lesion progression > 30%. The analysis of seasonal temperature changes showed significant differences related to minimal winter temperatures between both groups (p = 0.018).Conclusions: Coronary artery lesion progression can be related to either high values of daily temperatures or to low ambient temperature. The dichotomous characteristics of temperature exposure to atherosclerosis progression suggest a detrimental role of environmental extremities on human health.

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“…The authors in [22] report a 1.95% increase in all-cause mortality due to heat, whereas deaths attributed to heat were higher than deaths attributed to cold for 2006-2016. In [23], the highest relative risks of cardiovascular mortality are associated with extreme temperatures and the population in Thessaloniki is found to be more susceptible to low temperatures. With the influence of climate change, heat-related cardiorespiratory mortality in the city is projected to increase; the excess of annual heat-related deaths in 2080-2099 will range from 2.4 to 433.7 under different scenarios [24].…”

Section: Introductionmentioning

confidence: 99%

Projections of Heat-Related Mortality under the Impact of Climate Change in Thessaloniki, Greece

Parliari,

Keppas,

Papadogiannaki

et al. 2023

16th International Conference on Meteorology, Climatology and Atmospheric Physics—COMECAP 2023

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Analysis of the heat- and cold-related cardiovascular mortality in an urban mediterranean environment through various thermal indices

Cited by 10 publications

References 87 publications

The Impact of Ambient Temperature on Cardiorespiratory Mortality in Northern Greece

The Impact of Ambient Temperature on Cardiorespiratory Mortality in Northern Greece

Coronary artery culprit lesions progression and ambient temperature exposure – personalised analysis

Projections of Heat-Related Mortality under the Impact of Climate Change in Thessaloniki, Greece

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