The contribution of PM2.5 to cardiovascular disease in China

Zhang, Shuqi; Routledge, Michael N.

doi:10.1007/s11356-020-09996-3

Cited by 34 publications

(16 citation statements)

References 57 publications

(70 reference statements)

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“…The World Health Organization reported that air pollution was strongly associated with CVD mortality. There is also clear research evidence in China that air pollutant PM2.5 affected the clinical outcomes of CVD (22). Short-term air pollution exposure may lead to a variety of cardiac arrhythmias, including AF.…”

Section: Discussionmentioning

confidence: 99%

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

Liang

et al. 2021

Front. Cardiovasc. Med.

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Background: We investigated the effect of particulate matter with aerodynamic diameter <2.5 μm (PM2.5) and meteorological conditions on the risk of emergency room visits in patients with atrial fibrillation (AF) in Beijing, which is considered as a monsoon climate region.Methods: In this case-crossover design study, medical records from patients with AF who visited the Critical Care Center in the Emergency Department of Anzhen Hospital from January 2011 through December 2014 and air quality and meteorological data of Beijing during the same period were collected and analyzed using Cox regression and time-series autocorrelation analyses.Results: A total of 8,241 patients were included. When the average PM2.5 concentration was >430 μg/m3, the risk of emergency room visits for patients with uncomplicated AF, AF combined with cardiac insufficiency, and AF combined with rheumatic heart disease increased by 12, 12, and 40%, respectively. When the average PM2.5 concentration was >420 μg/m3, patients with AF combined with diabetes mellitus had a 75% increased risk of emergency room visits, which was the largest increase in risk among all types of patients with AF. When the average PM2.5 concentration was >390 μg/m3, patients with AF combined with acute coronary syndrome had an approximately 30% increased risk of emergency room visits, which was the highest and fastest increase in risk among all types of patients with AF. The risk of emergency room visits for patients with AF was positively correlated with air quality as the time lag proceeded, with an autocorrelation coefficient of 0.223 between the risk of emergency room visits and air quality in patients with AF on day 6 of the time lag.Conclusion: Exposure to certain concentrations of PM2.5 in a monsoon climate region significantly increased the risk of emergency room visits in patients with AF.

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Section: Discussionmentioning

confidence: 99%

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

Liang

et al. 2021

Front. Cardiovasc. Med.

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“…Comparing Suwałki-the city with the greatest share of area sources and, concurrently, the least polluted city-to the other cities, the odds ratios of mortality for IQR increased when the PM 2.5 and PM 10 concentrations were higher, and the trend was noted regardless of the cause of death up to lag 3. The influence of PM 2.5 on CbVD and ACS is well documented [29,30]. Ban et al reported that a 10 µg/m 3 increase in PM 2.5 increases the mortality risk by 0.71%, 1.09% and 0.43% for stroke, ischemic stroke and hemorrhagic stroke, respectively [31].…”

Section: Discussionmentioning

confidence: 99%

Short-Term Effects of “Polish Smog” on Cardiovascular Mortality in the Green Lungs of Poland: A Case-Crossover Study with 4,500,000 Person-Years (PL-PARTICLES Study)

et al. 2021

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Previous studies conducted in highly polluted areas have reported associations between air pollution and daily mortality. The Green Lungs of Poland are characterized by unique natural features and a moderate pollution level. We aimed to assess the short-term impact of air pollution on cardiovascular (CVD)-, acute coronary syndrome (ACS)-, and cerebrovascular-related (CbVD) mortality. An analysis with 4,500,000 person-years and a time-stratified case-crossover design was performed. The interquartile range increase in the PM2.5 (OR 1.036, 95% CI 1.016–1.056, p < 0.001) and PM10 concentration (OR 1.034, 95% CI 1.015–1.053, p < 0.001) was associated with increased CVD mortality on lag 0, and this effect persisted on the following days. The effects of PMs were expressed more in association with ACS-related mortality (PM2.5-OR = 1.045, 95% CI 1.012–1.080, p = 0.01; PM10-OR = 1.044, 95% CI 1.010–1.078, p = 0.01) and CbVD mortality (PM10-OR = 1.099, 95% CI 1.019–1.343, p = 0.02). We also noted a higher CVD mortality OR in the cold season for PM10 in cities with area-source domination: Białystok (p = 0.001) and Suwałki (p = 0.047). The short-term impact of PMs on cardiovascular mortality is also observed in moderately polluted areas. This adverse health effect was more apparent in CbVD- and ACS-related mortality, and in the cold season. Further research focusing on the adverse health effects of “Polish smog” is sorely needed.

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“…PM 2.5 refers to a PM concentration of less than 2.5 µm. It is easily accumulated in the human airway and affects human health (Zhang and Routledge, 2020). PM 10 refers to a PM concentration of less than 10 µm.…”

Section: Monthly Variations In Air Qualitymentioning

confidence: 99%

Changes in Air Quality from the COVID to the Post-COVID Era in the Beijing-Tianjin-Tangshan Region in China

Guo

Wang

et al. 2021

Aerosol Air Qual. Res.

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The contribution of PM2.5 to cardiovascular disease in China

Cited by 34 publications

References 57 publications

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

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

Short-Term Effects of “Polish Smog” on Cardiovascular Mortality in the Green Lungs of Poland: A Case-Crossover Study with 4,500,000 Person-Years (PL-PARTICLES Study)

Changes in Air Quality from the COVID to the Post-COVID Era in the Beijing-Tianjin-Tangshan Region in China

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