HEALTH EFFECTS OF HOT SUMMER WEATHER IN PATIENTS WITH INTERMEDIATE AND HIGH CARDIOVASCULAR RISK

Background. The potential global warming justifies the need for further investigation of the impact of abnormally hot summer weather on health and the prevention of these negative health effects.Aim. To study the effects of extreme climatic conditions (hot weather) on hemodynamics, electrolyte metab...

Full description

Bibliographic Details
Main Authors: M. D. Smirnova, F. T. Ageev, O. N. Svirida, L. G. Ratova, G. G. Konovalova, A. K. Tikhadze, V. Z. Lankin
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2013-08-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/214
_version_ 1797882565752782848
author M. D. Smirnova
F. T. Ageev
O. N. Svirida
L. G. Ratova
G. G. Konovalova
A. K. Tikhadze
V. Z. Lankin
author_facet M. D. Smirnova
F. T. Ageev
O. N. Svirida
L. G. Ratova
G. G. Konovalova
A. K. Tikhadze
V. Z. Lankin
author_sort M. D. Smirnova
collection DOAJ
description Background. The potential global warming justifies the need for further investigation of the impact of abnormally hot summer weather on health and the prevention of these negative health effects.Aim. To study the effects of extreme climatic conditions (hot weather) on hemodynamics, electrolyte metabolism, oxidative stress (OS), and quality of life (QoL) in cardiac patients.Material and methods. In total, the study included 123 patients (52 men and 76 women) with intermediate (17,3%) and high or very high (82,7%) cardiovascular risk. The following parameters were assessed: office blood pressure (BP), pulse wave velocity (PWV), plasma levels of potassium (K), sodium (Na), oxidized low-density lipoproteins (oxLDL), and malondialdehyde (MDA), erythrocyte activity of superoxide dismutase (SOD), and MDA/SOD ratio. The QoL scale, Shikhan clinical anxiety scale, and a questionnaire specifically designed for this study were also used.Results. Subjective health deterioration in hot weather was reported by 46,3% of the participants. The number of cardiovascular events (CVE) was higher during the hot weather period, compared to the following period (p=0,009). Hot weather was associated with a reduction in the levels of systolic BP (SAD; p=0,004), diastolic BP (DBP; p=0,04), PWV (p=0,05), and heart rate (HR; p=0,06). The levels of Na were elevated by the second visit (p=0,002). The number of CVE during the hot weather period negatively correlated with the dynamics of PWV (r= –0,304, p<0,001), SBP (r= –0,225, p=0,009), and DBP (r= –0,292, p=0,001) and positively correlated with the Na concentration dynamics. There was a negative correlation between QoL and age (r= –0,202, p=0,03). The hot weather period was characterised by the OS development, with the OS regression during the subsequent colder period.Conclusion. Hot summer weather, even within the climatic norm range, is associated with increased CVE risk in some cardiac patients. Negative health effects of hot weather were self-reported by 46,3% of participants. Inadequate heat adaptation was linked to OS development, lesser degree of BP and PWV reduction, more pronounced Na elevation, and older age.
first_indexed 2024-04-10T03:37:48Z
format Article
id doaj.art-db3b8846cf6a4518979fb7ba64e38230
institution Directory Open Access Journal
issn 1728-8800
2619-0125
language Russian
last_indexed 2024-04-10T03:37:48Z
publishDate 2013-08-01
publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj.art-db3b8846cf6a4518979fb7ba64e382302023-03-13T07:23:22Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252013-08-01124566110.15829/1728-8800-2013-4-56-61214HEALTH EFFECTS OF HOT SUMMER WEATHER IN PATIENTS WITH INTERMEDIATE AND HIGH CARDIOVASCULAR RISKM. D. Smirnova0F. T. Ageev1O. N. Svirida2L. G. Ratova3G. G. Konovalova4A. K. Tikhadze5V. Z. Lankin6Институт клинической кардиологии им. А. Л. Мясникова ФГБУ РКНПК Минздрава России, МоскваИнститут клинической кардиологии им. А. Л. Мясникова ФГБУ РКНПК Минздрава России, МоскваИнститут клинической кардиологии им. А. Л. Мясникова ФГБУ РКНПК Минздрава России, МоскваИнститут клинической кардиологии им. А. Л. Мясникова ФГБУ РКНПК Минздрава России, МоскваИнститут клинической кардиологии им. А. Л. Мясникова ФГБУ РКНПК Минздрава России, МоскваИнститут клинической кардиологии им. А. Л. Мясникова ФГБУ РКНПК Минздрава России, МоскваИнститут клинической кардиологии им. А. Л. Мясникова ФГБУ РКНПК Минздрава России, МоскваBackground. The potential global warming justifies the need for further investigation of the impact of abnormally hot summer weather on health and the prevention of these negative health effects.Aim. To study the effects of extreme climatic conditions (hot weather) on hemodynamics, electrolyte metabolism, oxidative stress (OS), and quality of life (QoL) in cardiac patients.Material and methods. In total, the study included 123 patients (52 men and 76 women) with intermediate (17,3%) and high or very high (82,7%) cardiovascular risk. The following parameters were assessed: office blood pressure (BP), pulse wave velocity (PWV), plasma levels of potassium (K), sodium (Na), oxidized low-density lipoproteins (oxLDL), and malondialdehyde (MDA), erythrocyte activity of superoxide dismutase (SOD), and MDA/SOD ratio. The QoL scale, Shikhan clinical anxiety scale, and a questionnaire specifically designed for this study were also used.Results. Subjective health deterioration in hot weather was reported by 46,3% of the participants. The number of cardiovascular events (CVE) was higher during the hot weather period, compared to the following period (p=0,009). Hot weather was associated with a reduction in the levels of systolic BP (SAD; p=0,004), diastolic BP (DBP; p=0,04), PWV (p=0,05), and heart rate (HR; p=0,06). The levels of Na were elevated by the second visit (p=0,002). The number of CVE during the hot weather period negatively correlated with the dynamics of PWV (r= –0,304, p<0,001), SBP (r= –0,225, p=0,009), and DBP (r= –0,292, p=0,001) and positively correlated with the Na concentration dynamics. There was a negative correlation between QoL and age (r= –0,202, p=0,03). The hot weather period was characterised by the OS development, with the OS regression during the subsequent colder period.Conclusion. Hot summer weather, even within the climatic norm range, is associated with increased CVE risk in some cardiac patients. Negative health effects of hot weather were self-reported by 46,3% of participants. Inadequate heat adaptation was linked to OS development, lesser degree of BP and PWV reduction, more pronounced Na elevation, and older age.https://cardiovascular.elpub.ru/jour/article/view/214жарариск сердечно-сосудистых осложненийадаптация к жаре
spellingShingle M. D. Smirnova
F. T. Ageev
O. N. Svirida
L. G. Ratova
G. G. Konovalova
A. K. Tikhadze
V. Z. Lankin
HEALTH EFFECTS OF HOT SUMMER WEATHER IN PATIENTS WITH INTERMEDIATE AND HIGH CARDIOVASCULAR RISK
Кардиоваскулярная терапия и профилактика
жара
риск сердечно-сосудистых осложнений
адаптация к жаре
title HEALTH EFFECTS OF HOT SUMMER WEATHER IN PATIENTS WITH INTERMEDIATE AND HIGH CARDIOVASCULAR RISK
title_full HEALTH EFFECTS OF HOT SUMMER WEATHER IN PATIENTS WITH INTERMEDIATE AND HIGH CARDIOVASCULAR RISK
title_fullStr HEALTH EFFECTS OF HOT SUMMER WEATHER IN PATIENTS WITH INTERMEDIATE AND HIGH CARDIOVASCULAR RISK
title_full_unstemmed HEALTH EFFECTS OF HOT SUMMER WEATHER IN PATIENTS WITH INTERMEDIATE AND HIGH CARDIOVASCULAR RISK
title_short HEALTH EFFECTS OF HOT SUMMER WEATHER IN PATIENTS WITH INTERMEDIATE AND HIGH CARDIOVASCULAR RISK
title_sort health effects of hot summer weather in patients with intermediate and high cardiovascular risk
topic жара
риск сердечно-сосудистых осложнений
адаптация к жаре
url https://cardiovascular.elpub.ru/jour/article/view/214
work_keys_str_mv AT mdsmirnova healtheffectsofhotsummerweatherinpatientswithintermediateandhighcardiovascularrisk
AT ftageev healtheffectsofhotsummerweatherinpatientswithintermediateandhighcardiovascularrisk
AT onsvirida healtheffectsofhotsummerweatherinpatientswithintermediateandhighcardiovascularrisk
AT lgratova healtheffectsofhotsummerweatherinpatientswithintermediateandhighcardiovascularrisk
AT ggkonovalova healtheffectsofhotsummerweatherinpatientswithintermediateandhighcardiovascularrisk
AT aktikhadze healtheffectsofhotsummerweatherinpatientswithintermediateandhighcardiovascularrisk
AT vzlankin healtheffectsofhotsummerweatherinpatientswithintermediateandhighcardiovascularrisk