Triggering of Acute Cardiovascular Disease and Potential Preventive Strategies

Tofler, Geoffrey H.; Muller, James E.

doi:10.1161/circulationaha.105.596189

Cited by 246 publications

(210 citation statements)

References 120 publications

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“…Exercise has acute cardiac risks as well, but the absolute risk of a cardiac event during exercise seems to be low (Institute of Medicine 2007). Regular physical activity also reduces the acute risk of a cardiovascular event (Tofler and Muller 2006).…”

Section: Overall Discussionmentioning

confidence: 99%

Do the health benefits of cycling outweigh the risks?

Hartog

Boogaard

Nijland

et al. 2011

Ciênc. saúde coletiva

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Do the Health Benefits of Cycling Outweigh the Risks?Os benefícios à saúde em andar de bicicleta superam os riscos?Resumo Embora uma mudança do uso de carro para bicicleta possa trazer efeitos benéficos para a saúde devido à diminuição da poluição do ar e a um aumento da atividade física, esta mudança também pode trazer efeitos adversos à saúde como exposição à poluição e risco de acidentes de trân-sito, os quais podem superar os benefícios. Nós resumimos a literatura sobre poluição do ar, acidentes de trânsito e atividade física, utilizando revisões sistemáticas suplementadas com estudos recentes. Quantificamos também o impacto na causa de mortalidade se 500 mil pessoas fizessem a transição de carro para bicicleta em viagens curtas diárias na Holanda. Estimamos que os efeitos benéficos do aumento da atividade física são substancialmente maiores do que o efeito potencial da mortalidade por inalação de ar poluído e aumento de acidentes de trânsito. Os benefícios sociais são ainda maiores devido a uma modesta redução na poluição do ar e nos acidentes de trânsito. Em média, os benefícios de saúde devido ao uso da bicicleta são substancialmente maiores do que os riscos relativos a dirigir um carro para pessoas em transição do modo de transporte. Palavras-chave Poluição do ar, Bicicleta, Mudança, Atividade física, Acidentes de trânsito Abstract Although from a societal point of view a modal shift from car to bicycle may have beneficial health effects due to decreased air pollution emissions and increased levels of physical activity, shifts in individual adverse health effects such as higher exposure to air pollution and risk of a traffic accident may prevail. We have summarized the literature for air pollution, traffic accidents, and physical activity using systematic reviews supplemented with recent key studies. We quantified the impact on all-cause mortality when 500,000 people would make a transition from car to bicycle for short trips on a daily basis in the Netherlands. We estimate that beneficial effects of increased physical activity are substantially larger (3-14 months gained) than the potential mortality effect of increased inhaled air pollution doses (0.8-40 days lost) and the increase in traffic accidents (5-9 days lost). Societal benefits are even larger because of a modest reduction in air pollution and traffic accidents. On average, the estimated health benefits of cycling were substantially larger than the risks relative to car driving for individuals shifting their mode of transport.

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Section: Overall Discussionmentioning

confidence: 99%

Do the health benefits of cycling outweigh the risks?

Hartog

Boogaard

Nijland

et al. 2011

Ciênc. saúde coletiva

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“…It is probable that patient age, times, and sumo venue (cities) might relate to the event. Previous studies have shown that the effects of triggers on cardiac arrest do not last longer 21, 22. Thus, to determine whether the effects of patient age on the occurrence of out‐of‐hospital cardiac arrests are modified by hours when sumo matches and summaries are broadcast (ie, 17:30–21:59), we assessed the effect modifications of these 2 factors on additive (eg, relative excess risk due to interaction23, 24) and multiplicative scales (eg, ratio of odds ratios [ORs]23) by sumo venue.…”

Section: Methodsmentioning

confidence: 99%

Grand Sumo Tournaments and Out‐of‐Hospital Cardiac Arrests in Tokyo

Hagihara

Onozuka

Hasegawa

et al. 2018

JAHA

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BackgroundSumo wrestling is a demanding sport. Although watching sumo wrestling may have cardiovascular effects, no studies of this relationship have been performed. Thus, we aimed to evaluate the association between sumo wrestling tournaments and the rate of out‐of‐hospital cardiac arrests.Methods and ResultsWe counted the daily number of patients aged 18 to 110 years who had an out‐of‐hospital cardiac arrest of presumed‐cardiac origin in the Tokyo metropolis between 2005 and 2014. A Poisson regression was used to model out‐of‐hospital cardiac arrests of presumed‐cardiac origin per day. Exposure days were the days on which a sumo tournament was held and broadcast, whereas control days were all other days. Events that occurred on exposure days were compared with those that occurred on control days. Risk ratios for out‐of‐hospital cardiac arrests on Grand Sumo tournaments days compared with control days were estimated. In total, 71 882 out‐of‐hospital cardiac arrests met the inclusion criteria. We recorded a 9% increase in the occurrence of out‐of‐hospital cardiac arrests on the day of a sumo tournament compared with control days. In patients aged 75 to 110 years, we found a 13% increase in the occurrence of out‐of‐hospital cardiac arrests on the day of a sumo tournament compared with control days.ConclusionsWe found a significant increase in the occurrence of out‐of‐hospital cardiac arrests on the days of sumo tournaments compared with control days in the Tokyo metropolis between 2005 and 2014. Further studies are needed to verify these initial findings on sumo tournaments and cardiovascular events.

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“…The hazard period, a related concept, is defined as the time interval after trigger initiation for which there is an associated increase in the risk of stroke. 15 To our knowledge, there are just 3 previous studies that have examined the role of psychosocial distress as a stroke trigger as defined by these criteria.…”

Section: Discussionmentioning

confidence: 99%