Effect of Air Quality on the Risk of Emergency Room Visits in Patients With Atrial Fibrillation

Liang, Bin; He, Xiaoli; Du, Xin; Liu, Xiaoxia; Ma, Changsheng

doi:10.3389/fcvm.2021.672745

Cited by 3 publications

(10 citation statements)

References 31 publications

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“…A study conducted by Liang et al in Beijing also showed that as time passed, the AF risk of patients visiting the emergency room increased. On lag6, there was a positive correlation between the air pollutants and AF [40]. The results of this study showed evidence that air pollutants are risk factors for the occurrence of AF.…”

Section: Discussionsupporting

confidence: 52%

Risk and economic cost of hospitalization due to atrial fibrillation caused by air pollution: a multi-city time series analysis

Lin

Jiang

et al. 2023

Environ Sci Eur

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Background Atrial fibrillation (AF) is the most common arrhythmia, resulting in serious cardiovascular diseases. Air pollution may cause heart rate disturbance, but there is no clear or consistent evidence that short-term exposure to air pollution leads to an increased risk of hospitalisation for symptomatic episodes of AF. This study aimed to assess the impact of short-term exposure to air pollution on inpatient numbers. Methods The inpatient records of AF cases in nine cities of the Sichuan Province, China and air pollution and meteorological data from 183 monitoring stations from 2017 to 2018 were collected. The impact of short-term exposure to air pollution on AF inpatients was evaluated using a time-stratified crossover case study design. The economic burden of AF attributable to air pollution was also estimated. Results A total of 5,958 patients with AF from 123 medical institutions were included in the analysis. Air pollutants had a significant impact on the number of patients with AF. The number increased by 2.5% (95% confidence interval [CI] = 1.006 to 1.044) and 1.8% (95% CI = 1.003–1.033) for every 10 µg/m3 increase in PM2.5, PM10, concentration, respectively. Moreover, the number increased by 12.7% (95% CI = 1.006 to 1.262) for every 10 µg/m3 increase of SO2 concentration. For every 0.1 μg/m3 increase in CO concentration, the number of inpatients with AF increased by 3.9% (95% CI = 1.010–1.070). People aged 65 years or older and women were more likely to be affected by air pollutants. The AF in 430 and 209 inpatients were attributable to PM2.5 and PM10, respectively. The total hospitalization expenses attributed to excessive exposure to PM2.5 and PM10 were 13.98 million CNY and 6.68 million CNY, respectively. Furthermore, the out-of-pocket expenses were 6.81 million CNY and 3.28 million CNY, respectively. Conclusions This study showed a strong correlation between air pollution and AF. Hence, there is a need to reduce air pollution to control health risks.

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Section: Discussionsupporting

confidence: 52%

Risk and economic cost of hospitalization due to atrial fibrillation caused by air pollution: a multi-city time series analysis

Lin

Jiang

et al. 2023

Environ Sci Eur

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Section: Figure 2 Exposure-response Relationship Curves Between Fine ...mentioning

confidence: 98%

“…40 The effects of PM 2.5 seemed to be heightened in settings of intense solar geomagnetic activity 41 and monsoon climates. 42 This highlights the intricate relationship between meteorologic conditions and air pollution in influencing AF presentation. Moreover, secondary compounds such as NO 3 − , SO 4 2− , and NH 4 + , which constitute a significant portion of atmospheric PM 2.5 also exhibit seasonal fluctuations, 40 and likely carry a significant role.…”

Section: Ambient Environmentmentioning

confidence: 98%

Environmental Exposome and Atrial Fibrillation: Emerging Evidence and Future Directions

Wass,

Hahad,

Asad

et al. 2024

Circulation Research

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There has been increased awareness of the linkage between environmental exposures and cardiovascular health and disease. Atrial fibrillation is the most common sustained cardiac arrhythmia, affecting millions of people worldwide and contributing to substantial morbidity and mortality. Although numerous studies have explored the role of genetic and lifestyle factors in the development and progression of atrial fibrillation, the potential impact of environmental determinants on this prevalent condition has received comparatively less attention. This review aims to provide a comprehensive overview of the current evidence on environmental determinants of atrial fibrillation, encompassing factors such as air pollution, temperature, humidity, and other meteorologic conditions, noise pollution, greenspace, and the social environment. We discuss the existing evidence from epidemiological and mechanistic studies, critically evaluating the strengths and limitations of these investigations and the potential underlying biological mechanisms through which environmental exposures may affect atrial fibrillation risk. Furthermore, we address the potential implications of these findings for public health and clinical practice and identify knowledge gaps and future research directions in this emerging field.

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“…We screened the full text of the 12 remaining records, with 1 of them being excluded due to a study design that was not suitable for our inclusion criteria, and 2 of them did not provide usable data. Nine remaining studies were included in our systematic review [28][29][30][31][32][33][34][35][36], and five of them were included in our meta-analysis (Fig 1) [28,29,32,34,35]. All the data required for analysis were reported or visualized, and no imputation of data was made during the extraction process.…”

Section: Study Selectionmentioning

confidence: 99%

“…All the data required for analysis were reported or visualized, and no imputation of data was made during the extraction process. The association parameters for the following studies were digitized from graphs: Jin (2022) [30], Lee (2019) [32], Liang (2021) [33], Zanobetti (2014) [35], and Zheng (2018) [36].…”

Section: Study Selectionmentioning

confidence: 99%

Effect modification of diabetic status on the association between exposure to particulate matter and cardiac arrhythmias in a general population: A systematic review and meta-analysis

Tassanaviroj,

Plodpai,

Wongyikul

et al. 2024

PLoS ONE

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Particulate matter (PM) has various health effects, including cardiovascular diseases. Exposure to PM and a diagnosis of diabetes mellitus (DM) have been associated with an increased risk of cardiac arrhythmias. However, no comprehensive synthesis has been conducted to examine the modifying effect of DM on the association between PM and arrhythmia events. Thus, the objectives of this review were to investigate whether the association of PM is linked to cardiac arrhythmias and whether DM status modifies its effect in the general population. The search was conducted on PubMed/MEDLINE and Embase until January 18, 2023. We included cohort and case-crossover studies reporting the effect of PM exposure on cardiac arrhythmias and examining the role of diabetes as an effect modifier. We used the DerSimonian and Laird random-effects model to calculate the pooled estimates. A total of 217 studies were found and subsequently screened. Nine studies met the inclusion criteria, and five of them were included in the meta-analysis. The participants numbered 4,431,452, with 2,556 having DM. Exposure to PM of any size showed a significant effect on arrhythmias in the overall population (OR 1.10, 95% CI 1.04–1.16). However, the effect modification of DM was not significant (OR 1.18 (95% CI 1.01–1.38) for DM; OR 1.08 (95% CI 1.02–1.14) for non-DM; p-value of subgroup difference = 0.304). Exposure to higher PM concentrations significantly increases cardiac arrhythmias requiring hospital or emergency visits. Although the impact on diabetic individuals is not significant, diabetic patients should still be considered at risk. Further studies with larger sample sizes and low bias are needed.

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Effect of Air Quality on the Risk of Emergency Room Visits in Patients With Atrial Fibrillation

Cited by 3 publications

References 31 publications

Risk and economic cost of hospitalization due to atrial fibrillation caused by air pollution: a multi-city time series analysis

Risk and economic cost of hospitalization due to atrial fibrillation caused by air pollution: a multi-city time series analysis

Environmental Exposome and Atrial Fibrillation: Emerging Evidence and Future Directions

Effect modification of diabetic status on the association between exposure to particulate matter and cardiac arrhythmias in a general population: A systematic review and meta-analysis

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