Short-term effects of air pollution and weather changes on the occurrence of acute aortic dissection in a cold region
BackgroundAir pollution and severe weather conditions can adversely affect cardiovascular disease emergencies. Nevertheless, it remains unclear whether air pollutants and low ambient temperature can trigger the occurrence of acute aortic dissection (AAD) in cold regions.MethodsWe applied a retrospec...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1172532/full |
| _version_ | 1827879011554951168 |
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| author | Haiyu Zhang Leilei Yin Yingtao Zhang Zhaowen Qiu Sizheng Peng Zhonghua Wang Bo Sun Jianrui Ding Jing Liu Kai Du Mingxin Wang Yanming Sun Jing Chen Hongyan Zhao Tao Song Yuhui Sun |
| author_facet | Haiyu Zhang Leilei Yin Yingtao Zhang Zhaowen Qiu Sizheng Peng Zhonghua Wang Bo Sun Jianrui Ding Jing Liu Kai Du Mingxin Wang Yanming Sun Jing Chen Hongyan Zhao Tao Song Yuhui Sun |
| author_sort | Haiyu Zhang |
| collection | DOAJ |
| description | BackgroundAir pollution and severe weather conditions can adversely affect cardiovascular disease emergencies. Nevertheless, it remains unclear whether air pollutants and low ambient temperature can trigger the occurrence of acute aortic dissection (AAD) in cold regions.MethodsWe applied a retrospective analysis to assess the short-term effects of air pollution and ambient temperature on the occurrence of AAD in Harbin, China. A total of 564 AAD patients were enrolled from a major hospital in Harbin between January 1, 2017, and February 5, 2021. Weather condition data and air pollutant concentrations, including fine particulate matter smaller than 10 μm (PM10) and 2.5 μm in diameter (PM2.5), nitrogen dioxide (NO2), sulfur dioxide (SO2), carbon monoxide (CO), and ozone (O3), were collected every day. Conditional logistic regressions and correlation analysis were applied to analyze the relationship of environmental and atmospheric parameters with AAD occurrence at lags of 0 to 7 days. Specifically, we appraised the air quality index, CO, NO2, SO2, O3, PM10, PM2.5, temperature, dew point temperature, atmospheric pressure, and cloud amount.ResultsA total of 1,496 days at risk were assessed, of which 564 patients developed AAD. Specifically, AAD did not occur on 1,043 (69.72%) days, while 1 or more cases occurred on 453 (30.28%) days. Several pollution and weather predictors for AAD were confirmed by multilevel modeling. The air quality index (p = 0.0012), cloud amount (p = 0.0001), and concentrations of PM2.5 (p = 0.0004), PM10 (p = 0.0013), NO2 (p = 0.0007) and O3 (p = 0.0001) predicted AAD as early as 7 days before the incident (lag of 7 days) in the study period. However, only concentrations of the air pollutants NO2 (p = 0.0468) and O3 (p = 0.011) predicted the occurrence of AAD after the COVID-19 outbreak. Similar predictive effects were observed for temperature, dew point temperature, and atmospheric pressure (all p < 0.05) on all days.ConclusionThe risk of AAD is closely related to air pollution and weather characteristics in Harbin. While causation was not determined, the impact of air pollutants on the risk of AAD was reduced after the COVID-19 outbreak. |
| first_indexed | 2024-03-12T17:59:42Z |
| format | Article |
| id | doaj.art-a2e7e0f045ad431bb7048ff6dc689bf0 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-12T17:59:42Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-a2e7e0f045ad431bb7048ff6dc689bf02023-08-02T13:13:19ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-08-011110.3389/fpubh.2023.11725321172532Short-term effects of air pollution and weather changes on the occurrence of acute aortic dissection in a cold regionHaiyu Zhang0Leilei Yin1Yingtao Zhang2Zhaowen Qiu3Sizheng Peng4Zhonghua Wang5Bo Sun6Jianrui Ding7Jing Liu8Kai Du9Mingxin Wang10Yanming Sun11Jing Chen12Hongyan Zhao13Tao Song14Yuhui Sun15Department of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaDepartment of Emergency, The First Affiliated Hospital of Harbin Medical University, Harbin, ChinaSchool of Computer Science and Technology, Harbin Institute of Technology, Harbin, ChinaSchool of Information and Computer Engineering, Northeast Forestry University, Harbin, Heilongjiang, ChinaDepartment of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaDepartment of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaDepartment of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaSchool of Computer Science and Technology, Harbin Institute of Technology, Weihai, Shandong, ChinaDepartment of Cardiology, Harbin Second Hospital, Harbin, ChinaDepartment of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaDepartment of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaDepartment of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaDepartment of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaDepartment of Medical Record, The Second Affiliated Hospital of Harbin Medical University, Harbin, ChinaDepartment of Cardiology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaDepartment of Obstetrics and Gynecology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaBackgroundAir pollution and severe weather conditions can adversely affect cardiovascular disease emergencies. Nevertheless, it remains unclear whether air pollutants and low ambient temperature can trigger the occurrence of acute aortic dissection (AAD) in cold regions.MethodsWe applied a retrospective analysis to assess the short-term effects of air pollution and ambient temperature on the occurrence of AAD in Harbin, China. A total of 564 AAD patients were enrolled from a major hospital in Harbin between January 1, 2017, and February 5, 2021. Weather condition data and air pollutant concentrations, including fine particulate matter smaller than 10 μm (PM10) and 2.5 μm in diameter (PM2.5), nitrogen dioxide (NO2), sulfur dioxide (SO2), carbon monoxide (CO), and ozone (O3), were collected every day. Conditional logistic regressions and correlation analysis were applied to analyze the relationship of environmental and atmospheric parameters with AAD occurrence at lags of 0 to 7 days. Specifically, we appraised the air quality index, CO, NO2, SO2, O3, PM10, PM2.5, temperature, dew point temperature, atmospheric pressure, and cloud amount.ResultsA total of 1,496 days at risk were assessed, of which 564 patients developed AAD. Specifically, AAD did not occur on 1,043 (69.72%) days, while 1 or more cases occurred on 453 (30.28%) days. Several pollution and weather predictors for AAD were confirmed by multilevel modeling. The air quality index (p = 0.0012), cloud amount (p = 0.0001), and concentrations of PM2.5 (p = 0.0004), PM10 (p = 0.0013), NO2 (p = 0.0007) and O3 (p = 0.0001) predicted AAD as early as 7 days before the incident (lag of 7 days) in the study period. However, only concentrations of the air pollutants NO2 (p = 0.0468) and O3 (p = 0.011) predicted the occurrence of AAD after the COVID-19 outbreak. Similar predictive effects were observed for temperature, dew point temperature, and atmospheric pressure (all p < 0.05) on all days.ConclusionThe risk of AAD is closely related to air pollution and weather characteristics in Harbin. While causation was not determined, the impact of air pollutants on the risk of AAD was reduced after the COVID-19 outbreak.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1172532/fullweatherenvironmenttemperaturepollutionacute aortic dissectionCOVID-19 |
| spellingShingle | Haiyu Zhang Leilei Yin Yingtao Zhang Zhaowen Qiu Sizheng Peng Zhonghua Wang Bo Sun Jianrui Ding Jing Liu Kai Du Mingxin Wang Yanming Sun Jing Chen Hongyan Zhao Tao Song Yuhui Sun Short-term effects of air pollution and weather changes on the occurrence of acute aortic dissection in a cold region Frontiers in Public Health weather environment temperature pollution acute aortic dissection COVID-19 |
| title | Short-term effects of air pollution and weather changes on the occurrence of acute aortic dissection in a cold region |
| title_full | Short-term effects of air pollution and weather changes on the occurrence of acute aortic dissection in a cold region |
| title_fullStr | Short-term effects of air pollution and weather changes on the occurrence of acute aortic dissection in a cold region |
| title_full_unstemmed | Short-term effects of air pollution and weather changes on the occurrence of acute aortic dissection in a cold region |
| title_short | Short-term effects of air pollution and weather changes on the occurrence of acute aortic dissection in a cold region |
| title_sort | short term effects of air pollution and weather changes on the occurrence of acute aortic dissection in a cold region |
| topic | weather environment temperature pollution acute aortic dissection COVID-19 |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1172532/full |
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