Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China
Abstract Limited evidence is available on apparent temperature (AT) and hospital admissions for acute cardiac events. We examined the associations of AT with admissions for acute cardiac events and acute coronary syndrome (ACS), and explored the effect difference between ST-elevation myocardial infa...
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| Format: | Article |
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Nature Portfolio
2021-07-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-94738-9 |
| _version_ | 1818419876921868288 |
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| author | Na Li Junxiong Ma Fangjing Liu Yan Zhang Pengkun Ma Yinzi Jin Zhi-Jie Zheng |
| author_facet | Na Li Junxiong Ma Fangjing Liu Yan Zhang Pengkun Ma Yinzi Jin Zhi-Jie Zheng |
| author_sort | Na Li |
| collection | DOAJ |
| description | Abstract Limited evidence is available on apparent temperature (AT) and hospital admissions for acute cardiac events. We examined the associations of AT with admissions for acute cardiac events and acute coronary syndrome (ACS), and explored the effect difference between ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction ACS (NSTE-ACS). Poisson regression with distributed lag non-linear model was applied to examine the temperature-lag-admission associations. Stratified analyses were performed by gender and age-groups for acute cardiac events. A total of 11,657 acute cardiac events admissions were collected from hospital-based chest pain centers in Beijing, during 2017–2019. The single day effect of low AT (− 11 °C, 2.5th percentile) appeared on the 2nd day and persisted until the 11th day, with estimated relative risk (RR) ranging from 1.44 (95% CI: 1.159, 1.790) to 1.084 (95% CI: 1.022, 1.150) for acute cardiac events and from 1.034 (95% CI: 1.010, 1.059) to 1.006 (95% CI: 1.000, 1.011) for ACS. The single day effect of high AT (34 °C, 97.5th percentile) was only observed on the current day. The cold effect on acute cardiac events was more pronounced among female and older patients. The cumulative effect of high AT on STEMI admissions and low AT on NSTE-ACS reached a peak RR peak of 2.545 (95% CI: 1.016, 6.375) and 3.71 (95% CI: 1.315, 10.469) on lag 0–6 days, respectively. Both high and low ATs were associated with increased risk of acute cardiac events and ACS admissions. STEMI admissions may be more sensitive to high AT while NSTE-ACS to low AT. |
| first_indexed | 2024-12-14T12:45:33Z |
| format | Article |
| id | doaj.art-cedfb5a643484d45a7e36fea79a9dfdf |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-14T12:45:33Z |
| publishDate | 2021-07-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-cedfb5a643484d45a7e36fea79a9dfdf2022-12-21T23:00:47ZengNature PortfolioScientific Reports2045-23222021-07-0111111210.1038/s41598-021-94738-9Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, ChinaNa Li0Junxiong Ma1Fangjing Liu2Yan Zhang3Pengkun Ma4Yinzi Jin5Zhi-Jie Zheng6Department of Global Health, Peking University School of Public HealthDepartment of Global Health, Peking University School of Public HealthDepartment of Global Health, Peking University School of Public HealthInstitute of Cardiovascular Disease, Peking University First HospitalInstitute of Urban Meteorology, Chinese Meteorological AdministrationDepartment of Global Health, Peking University School of Public HealthDepartment of Global Health, Peking University School of Public HealthAbstract Limited evidence is available on apparent temperature (AT) and hospital admissions for acute cardiac events. We examined the associations of AT with admissions for acute cardiac events and acute coronary syndrome (ACS), and explored the effect difference between ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction ACS (NSTE-ACS). Poisson regression with distributed lag non-linear model was applied to examine the temperature-lag-admission associations. Stratified analyses were performed by gender and age-groups for acute cardiac events. A total of 11,657 acute cardiac events admissions were collected from hospital-based chest pain centers in Beijing, during 2017–2019. The single day effect of low AT (− 11 °C, 2.5th percentile) appeared on the 2nd day and persisted until the 11th day, with estimated relative risk (RR) ranging from 1.44 (95% CI: 1.159, 1.790) to 1.084 (95% CI: 1.022, 1.150) for acute cardiac events and from 1.034 (95% CI: 1.010, 1.059) to 1.006 (95% CI: 1.000, 1.011) for ACS. The single day effect of high AT (34 °C, 97.5th percentile) was only observed on the current day. The cold effect on acute cardiac events was more pronounced among female and older patients. The cumulative effect of high AT on STEMI admissions and low AT on NSTE-ACS reached a peak RR peak of 2.545 (95% CI: 1.016, 6.375) and 3.71 (95% CI: 1.315, 10.469) on lag 0–6 days, respectively. Both high and low ATs were associated with increased risk of acute cardiac events and ACS admissions. STEMI admissions may be more sensitive to high AT while NSTE-ACS to low AT.https://doi.org/10.1038/s41598-021-94738-9 |
| spellingShingle | Na Li Junxiong Ma Fangjing Liu Yan Zhang Pengkun Ma Yinzi Jin Zhi-Jie Zheng Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China Scientific Reports |
| title | Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China |
| title_full | Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China |
| title_fullStr | Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China |
| title_full_unstemmed | Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China |
| title_short | Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China |
| title_sort | associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in beijing china |
| url | https://doi.org/10.1038/s41598-021-94738-9 |
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