Daily Exposure to Air Pollution Particulate Matter Is Associated with Atrial Fibrillation in High-Risk Patients
Several epidemiological studies found an association between acute exposure to fine particulate matter of less than 2.5 μm and 10 μm in aerodynamic diameter (PM and PM ) and cardiovascular diseases, ventricular fibrillation incidence and mortality. The effects of pollution on atrial fibrillation (AF...
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| Veröffentlicht in: | International journal of environmental research and public health 2020-08, Vol.17 (17), p.6017 |
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| creator | Gallo, Elisa Folino, Franco Buja, Gianfranco Zanotto, Gabriele Bottigliengo, Daniele Comoretto, Rosanna Marras, Elena Allocca, Giuseppe Vaccari, Diego Gasparini, Gianni Bertaglia, Emanuele Zoppo, Franco Calzolari, Vittorio Nangah Suh, Rene Ignatiuk, Barbara Lanera, Corrado Benassi, Alessandro Gregori, Dario Iliceto, Sabino |
| description | Several epidemiological studies found an association between acute exposure to fine particulate matter of less than 2.5 μm and 10 μm in aerodynamic diameter (PM
and PM
) and cardiovascular diseases, ventricular fibrillation incidence and mortality. The effects of pollution on atrial fibrillation (AF) beyond the first several hours of exposure remain controversial. A total of 145 patients with implantable cardioverter-defibrillators (ICDs), cardiac resynchronization therapy defibrillators (ICD-CRT), or pacemakers were enrolled in this multicentric prospective study. Daily levels of PM
and PM
were collected from monitoring stations within 20 km of the patient's residence. A Firth Logistic Regression model was used to evaluate the association between AF and daily exposure to PM
and PM
. Exposure levels to PM
and PM
were moderate, being above the World Health Organization (WHO) PM
and PM
thresholds of 25 μg/m
and 50 μg/m
, respectively, on 26% and 18% of the follow-up days. An association was found between daily levels of PM
and PM
and AF (95% confidence intervals (CIs) of 1.34-2.40 and 1.44-4.28, respectively) for an increase of 50 µg/m
above the WHO threshold. Daily exposure to moderate PM
and PM
levels is associated with AF in patients who are not prone to AF. |
| doi_str_mv | 10.3390/ijerph17176017 |
| format | Article |
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and PM
) and cardiovascular diseases, ventricular fibrillation incidence and mortality. The effects of pollution on atrial fibrillation (AF) beyond the first several hours of exposure remain controversial. A total of 145 patients with implantable cardioverter-defibrillators (ICDs), cardiac resynchronization therapy defibrillators (ICD-CRT), or pacemakers were enrolled in this multicentric prospective study. Daily levels of PM
and PM
were collected from monitoring stations within 20 km of the patient's residence. A Firth Logistic Regression model was used to evaluate the association between AF and daily exposure to PM
and PM
. Exposure levels to PM
and PM
were moderate, being above the World Health Organization (WHO) PM
and PM
thresholds of 25 μg/m
and 50 μg/m
, respectively, on 26% and 18% of the follow-up days. An association was found between daily levels of PM
and PM
and AF (95% confidence intervals (CIs) of 1.34-2.40 and 1.44-4.28, respectively) for an increase of 50 µg/m
above the WHO threshold. Daily exposure to moderate PM
and PM
levels is associated with AF in patients who are not prone to AF.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17176017</identifier><identifier>PMID: 32824908</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Aged ; Air Pollutants - analysis ; Air Pollutants - toxicity ; Air pollution ; Air Pollution - analysis ; Atrial Fibrillation - epidemiology ; Cardiac arrhythmia ; Cardiovascular disease ; Cardiovascular diseases ; Confidence intervals ; Defibrillators ; Environmental Exposure ; Epidemiology ; Exposure ; Female ; Fibrillation ; Hospitalization ; Humans ; Humidity ; Male ; Mobile communications networks ; Mortality ; Pacemakers ; Particulate emissions ; Particulate matter ; Particulate Matter - analysis ; Particulate Matter - toxicity ; Patients ; Pollutants ; Pollution effects ; Prospective Studies ; Risk groups ; Statistical analysis ; Studies ; Surgical implants ; Ventricle ; Ventricular fibrillation</subject><ispartof>International journal of environmental research and public health, 2020-08, Vol.17 (17), p.6017</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-237fead116023c963f2ffb13b6cd153b3f2b86351c631a5181ba3578825678fa3</citedby><cites>FETCH-LOGICAL-c418t-237fead116023c963f2ffb13b6cd153b3f2b86351c631a5181ba3578825678fa3</cites><orcidid>0000-0002-0520-7428 ; 0000-0001-7906-0580 ; 0000-0002-0827-4474 ; 0000-0002-8601-1899</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504134/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504134/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32824908$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gallo, Elisa</creatorcontrib><creatorcontrib>Folino, Franco</creatorcontrib><creatorcontrib>Buja, Gianfranco</creatorcontrib><creatorcontrib>Zanotto, Gabriele</creatorcontrib><creatorcontrib>Bottigliengo, Daniele</creatorcontrib><creatorcontrib>Comoretto, Rosanna</creatorcontrib><creatorcontrib>Marras, Elena</creatorcontrib><creatorcontrib>Allocca, Giuseppe</creatorcontrib><creatorcontrib>Vaccari, Diego</creatorcontrib><creatorcontrib>Gasparini, Gianni</creatorcontrib><creatorcontrib>Bertaglia, Emanuele</creatorcontrib><creatorcontrib>Zoppo, Franco</creatorcontrib><creatorcontrib>Calzolari, Vittorio</creatorcontrib><creatorcontrib>Nangah Suh, Rene</creatorcontrib><creatorcontrib>Ignatiuk, Barbara</creatorcontrib><creatorcontrib>Lanera, Corrado</creatorcontrib><creatorcontrib>Benassi, Alessandro</creatorcontrib><creatorcontrib>Gregori, Dario</creatorcontrib><creatorcontrib>Iliceto, Sabino</creatorcontrib><title>Daily Exposure to Air Pollution Particulate Matter Is Associated with Atrial Fibrillation in High-Risk Patients</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Several epidemiological studies found an association between acute exposure to fine particulate matter of less than 2.5 μm and 10 μm in aerodynamic diameter (PM
and PM
) and cardiovascular diseases, ventricular fibrillation incidence and mortality. The effects of pollution on atrial fibrillation (AF) beyond the first several hours of exposure remain controversial. A total of 145 patients with implantable cardioverter-defibrillators (ICDs), cardiac resynchronization therapy defibrillators (ICD-CRT), or pacemakers were enrolled in this multicentric prospective study. Daily levels of PM
and PM
were collected from monitoring stations within 20 km of the patient's residence. A Firth Logistic Regression model was used to evaluate the association between AF and daily exposure to PM
and PM
. Exposure levels to PM
and PM
were moderate, being above the World Health Organization (WHO) PM
and PM
thresholds of 25 μg/m
and 50 μg/m
, respectively, on 26% and 18% of the follow-up days. An association was found between daily levels of PM
and PM
and AF (95% confidence intervals (CIs) of 1.34-2.40 and 1.44-4.28, respectively) for an increase of 50 µg/m
above the WHO threshold. Daily exposure to moderate PM
and PM
levels is associated with AF in patients who are not prone to AF.</description><subject>Aged</subject><subject>Air Pollutants - analysis</subject><subject>Air Pollutants - toxicity</subject><subject>Air pollution</subject><subject>Air Pollution - analysis</subject><subject>Atrial Fibrillation - epidemiology</subject><subject>Cardiac arrhythmia</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Confidence intervals</subject><subject>Defibrillators</subject><subject>Environmental Exposure</subject><subject>Epidemiology</subject><subject>Exposure</subject><subject>Female</subject><subject>Fibrillation</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Humidity</subject><subject>Male</subject><subject>Mobile communications networks</subject><subject>Mortality</subject><subject>Pacemakers</subject><subject>Particulate emissions</subject><subject>Particulate matter</subject><subject>Particulate Matter - analysis</subject><subject>Particulate Matter - toxicity</subject><subject>Patients</subject><subject>Pollutants</subject><subject>Pollution effects</subject><subject>Prospective Studies</subject><subject>Risk groups</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Surgical implants</subject><subject>Ventricle</subject><subject>Ventricular 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Gianfranco</creator><creator>Zanotto, Gabriele</creator><creator>Bottigliengo, Daniele</creator><creator>Comoretto, Rosanna</creator><creator>Marras, Elena</creator><creator>Allocca, Giuseppe</creator><creator>Vaccari, Diego</creator><creator>Gasparini, Gianni</creator><creator>Bertaglia, Emanuele</creator><creator>Zoppo, Franco</creator><creator>Calzolari, Vittorio</creator><creator>Nangah Suh, Rene</creator><creator>Ignatiuk, Barbara</creator><creator>Lanera, Corrado</creator><creator>Benassi, Alessandro</creator><creator>Gregori, Dario</creator><creator>Iliceto, Sabino</creator><general>MDPI 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Associated with Atrial Fibrillation in High-Risk Patients</title><author>Gallo, Elisa ; Folino, Franco ; Buja, Gianfranco ; Zanotto, Gabriele ; Bottigliengo, Daniele ; Comoretto, Rosanna ; Marras, Elena ; Allocca, Giuseppe ; Vaccari, Diego ; Gasparini, Gianni ; Bertaglia, Emanuele ; Zoppo, Franco ; Calzolari, Vittorio ; Nangah Suh, Rene ; Ignatiuk, Barbara ; Lanera, Corrado ; Benassi, Alessandro ; Gregori, Dario ; Iliceto, Sabino</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-237fead116023c963f2ffb13b6cd153b3f2b86351c631a5181ba3578825678fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Air Pollutants - analysis</topic><topic>Air Pollutants - toxicity</topic><topic>Air pollution</topic><topic>Air Pollution - analysis</topic><topic>Atrial Fibrillation - epidemiology</topic><topic>Cardiac arrhythmia</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Confidence intervals</topic><topic>Defibrillators</topic><topic>Environmental Exposure</topic><topic>Epidemiology</topic><topic>Exposure</topic><topic>Female</topic><topic>Fibrillation</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Humidity</topic><topic>Male</topic><topic>Mobile communications networks</topic><topic>Mortality</topic><topic>Pacemakers</topic><topic>Particulate emissions</topic><topic>Particulate matter</topic><topic>Particulate Matter - analysis</topic><topic>Particulate Matter - toxicity</topic><topic>Patients</topic><topic>Pollutants</topic><topic>Pollution effects</topic><topic>Prospective Studies</topic><topic>Risk groups</topic><topic>Statistical analysis</topic><topic>Studies</topic><topic>Surgical implants</topic><topic>Ventricle</topic><topic>Ventricular fibrillation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gallo, Elisa</creatorcontrib><creatorcontrib>Folino, Franco</creatorcontrib><creatorcontrib>Buja, Gianfranco</creatorcontrib><creatorcontrib>Zanotto, Gabriele</creatorcontrib><creatorcontrib>Bottigliengo, Daniele</creatorcontrib><creatorcontrib>Comoretto, Rosanna</creatorcontrib><creatorcontrib>Marras, Elena</creatorcontrib><creatorcontrib>Allocca, Giuseppe</creatorcontrib><creatorcontrib>Vaccari, Diego</creatorcontrib><creatorcontrib>Gasparini, Gianni</creatorcontrib><creatorcontrib>Bertaglia, Emanuele</creatorcontrib><creatorcontrib>Zoppo, Franco</creatorcontrib><creatorcontrib>Calzolari, Vittorio</creatorcontrib><creatorcontrib>Nangah Suh, Rene</creatorcontrib><creatorcontrib>Ignatiuk, Barbara</creatorcontrib><creatorcontrib>Lanera, Corrado</creatorcontrib><creatorcontrib>Benassi, Alessandro</creatorcontrib><creatorcontrib>Gregori, Dario</creatorcontrib><creatorcontrib>Iliceto, Sabino</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium 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Elena</au><au>Allocca, Giuseppe</au><au>Vaccari, Diego</au><au>Gasparini, Gianni</au><au>Bertaglia, Emanuele</au><au>Zoppo, Franco</au><au>Calzolari, Vittorio</au><au>Nangah Suh, Rene</au><au>Ignatiuk, Barbara</au><au>Lanera, Corrado</au><au>Benassi, Alessandro</au><au>Gregori, Dario</au><au>Iliceto, Sabino</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Daily Exposure to Air Pollution Particulate Matter Is Associated with Atrial Fibrillation in High-Risk Patients</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-08-19</date><risdate>2020</risdate><volume>17</volume><issue>17</issue><spage>6017</spage><pages>6017-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Several epidemiological studies found an association between acute exposure to fine particulate matter of less than 2.5 μm and 10 μm in aerodynamic diameter (PM
and PM
) and cardiovascular diseases, ventricular fibrillation incidence and mortality. The effects of pollution on atrial fibrillation (AF) beyond the first several hours of exposure remain controversial. A total of 145 patients with implantable cardioverter-defibrillators (ICDs), cardiac resynchronization therapy defibrillators (ICD-CRT), or pacemakers were enrolled in this multicentric prospective study. Daily levels of PM
and PM
were collected from monitoring stations within 20 km of the patient's residence. A Firth Logistic Regression model was used to evaluate the association between AF and daily exposure to PM
and PM
. Exposure levels to PM
and PM
were moderate, being above the World Health Organization (WHO) PM
and PM
thresholds of 25 μg/m
and 50 μg/m
, respectively, on 26% and 18% of the follow-up days. An association was found between daily levels of PM
and PM
and AF (95% confidence intervals (CIs) of 1.34-2.40 and 1.44-4.28, respectively) for an increase of 50 µg/m
above the WHO threshold. Daily exposure to moderate PM
and PM
levels is associated with AF in patients who are not prone to AF.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>32824908</pmid><doi>10.3390/ijerph17176017</doi><orcidid>https://orcid.org/0000-0002-0520-7428</orcidid><orcidid>https://orcid.org/0000-0001-7906-0580</orcidid><orcidid>https://orcid.org/0000-0002-0827-4474</orcidid><orcidid>https://orcid.org/0000-0002-8601-1899</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Aged Air Pollutants - analysis Air Pollutants - toxicity Air pollution Air Pollution - analysis Atrial Fibrillation - epidemiology Cardiac arrhythmia Cardiovascular disease Cardiovascular diseases Confidence intervals Defibrillators Environmental Exposure Epidemiology Exposure Female Fibrillation Hospitalization Humans Humidity Male Mobile communications networks Mortality Pacemakers Particulate emissions Particulate matter Particulate Matter - analysis Particulate Matter - toxicity Patients Pollutants Pollution effects Prospective Studies Risk groups Statistical analysis Studies Surgical implants Ventricle Ventricular fibrillation |
| title | Daily Exposure to Air Pollution Particulate Matter Is Associated with Atrial Fibrillation in High-Risk Patients |
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