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Association between ambient air pollution and hospitalization caused by atrial fibrillation

BACKGROUND: Many studies have shown the worst effects of air pollution on cardiovascular diseases (CVDs). Present study focused on the relationship between atrial fibrillation (AF), as one of the common arrhythmias, and air pollutants in Isfahan, Iran, an industrial city in the Middle East. METHODS:...

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Autores principales: Saifipour, Amir, Azhari, Amirhossein, Pourmoghaddas, Ali, Hosseini, Sayed Mohsen, Jafari-Koshki, Tohid, Rahimi, Mojtaba, Nasri, Ali, Shishehforoush, Mansour, Lahijanzadeh, Ahmadreza, Sadeghian, Babak, Moazam, Elham, Mohebi, Mohammad Bagher, Ezatian, Victoria, Rabiei, Katayoun, Sarrafzadegan, Nizal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698081/
https://www.ncbi.nlm.nih.gov/pubmed/31452658
http://dx.doi.org/10.22122/arya.v15i3.1843
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author Saifipour, Amir
Azhari, Amirhossein
Pourmoghaddas, Ali
Hosseini, Sayed Mohsen
Jafari-Koshki, Tohid
Rahimi, Mojtaba
Nasri, Ali
Shishehforoush, Mansour
Lahijanzadeh, Ahmadreza
Sadeghian, Babak
Moazam, Elham
Mohebi, Mohammad Bagher
Ezatian, Victoria
Rabiei, Katayoun
Sarrafzadegan, Nizal
author_facet Saifipour, Amir
Azhari, Amirhossein
Pourmoghaddas, Ali
Hosseini, Sayed Mohsen
Jafari-Koshki, Tohid
Rahimi, Mojtaba
Nasri, Ali
Shishehforoush, Mansour
Lahijanzadeh, Ahmadreza
Sadeghian, Babak
Moazam, Elham
Mohebi, Mohammad Bagher
Ezatian, Victoria
Rabiei, Katayoun
Sarrafzadegan, Nizal
author_sort Saifipour, Amir
collection PubMed
description BACKGROUND: Many studies have shown the worst effects of air pollution on cardiovascular diseases (CVDs). Present study focused on the relationship between atrial fibrillation (AF), as one of the common arrhythmias, and air pollutants in Isfahan, Iran, an industrial city in the Middle East. METHODS: A case-crossover design was used to explore the associations between air pollution and AF hospitalized patients with ventricular response (VR) > 90 beats per minute (bpm) (fast response) and those with VR ≤ 90 bpm. All patients' records were extracted from their hospital files. Air pollutants data including particulate matter less than 10 µ (PM10), PM2.5, carbon monoxide (CO), nitrogen dioxide (NO2), sulfur dioxide (SO2), and ozone (O3) were obtained from the Correlation of Air Pollution with Hospitalization and Mortality of Cardiovascular and Respiratory Diseases (CAPACITY) study. Conditional logistic regression test was used to measure the relationship between pollutants and hospitalization due to AF. RESULTS: Records of 369 patients, including 173 men (46.9%) who were hospitalized for AF during the study period and had complete data were extracted. Although a positive but not statistically significant relationship was shown between 10-unit increases in all pollutants (except PM10) and the hospitalization due to AF in patients with rapid VR (RVR), the only significant relationship was observed in case of NO2 [odds ratio (OR) = 1.26, 95% confidence interval (CI) = 1.0-2.1, P = 0.031]. CONCLUSION: This study showed positive significant relationships between NO2 and the hospitalization due to AF in patients with RVR. NO2 is a greenhouse gas whose levels are expected to increase due to global environmental changes. Therefore, relevant strategies should be adopted to decrease its levels, especially in industrial cities like Isfahan.
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spelling pubmed-66980812019-08-26 Association between ambient air pollution and hospitalization caused by atrial fibrillation Saifipour, Amir Azhari, Amirhossein Pourmoghaddas, Ali Hosseini, Sayed Mohsen Jafari-Koshki, Tohid Rahimi, Mojtaba Nasri, Ali Shishehforoush, Mansour Lahijanzadeh, Ahmadreza Sadeghian, Babak Moazam, Elham Mohebi, Mohammad Bagher Ezatian, Victoria Rabiei, Katayoun Sarrafzadegan, Nizal ARYA Atheroscler Original Article BACKGROUND: Many studies have shown the worst effects of air pollution on cardiovascular diseases (CVDs). Present study focused on the relationship between atrial fibrillation (AF), as one of the common arrhythmias, and air pollutants in Isfahan, Iran, an industrial city in the Middle East. METHODS: A case-crossover design was used to explore the associations between air pollution and AF hospitalized patients with ventricular response (VR) > 90 beats per minute (bpm) (fast response) and those with VR ≤ 90 bpm. All patients' records were extracted from their hospital files. Air pollutants data including particulate matter less than 10 µ (PM10), PM2.5, carbon monoxide (CO), nitrogen dioxide (NO2), sulfur dioxide (SO2), and ozone (O3) were obtained from the Correlation of Air Pollution with Hospitalization and Mortality of Cardiovascular and Respiratory Diseases (CAPACITY) study. Conditional logistic regression test was used to measure the relationship between pollutants and hospitalization due to AF. RESULTS: Records of 369 patients, including 173 men (46.9%) who were hospitalized for AF during the study period and had complete data were extracted. Although a positive but not statistically significant relationship was shown between 10-unit increases in all pollutants (except PM10) and the hospitalization due to AF in patients with rapid VR (RVR), the only significant relationship was observed in case of NO2 [odds ratio (OR) = 1.26, 95% confidence interval (CI) = 1.0-2.1, P = 0.031]. CONCLUSION: This study showed positive significant relationships between NO2 and the hospitalization due to AF in patients with RVR. NO2 is a greenhouse gas whose levels are expected to increase due to global environmental changes. Therefore, relevant strategies should be adopted to decrease its levels, especially in industrial cities like Isfahan. Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2019-05 /pmc/articles/PMC6698081/ /pubmed/31452658 http://dx.doi.org/10.22122/arya.v15i3.1843 Text en © 2019 Isfahan Cardiovascular Research Center & Isfahan University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Saifipour, Amir
Azhari, Amirhossein
Pourmoghaddas, Ali
Hosseini, Sayed Mohsen
Jafari-Koshki, Tohid
Rahimi, Mojtaba
Nasri, Ali
Shishehforoush, Mansour
Lahijanzadeh, Ahmadreza
Sadeghian, Babak
Moazam, Elham
Mohebi, Mohammad Bagher
Ezatian, Victoria
Rabiei, Katayoun
Sarrafzadegan, Nizal
Association between ambient air pollution and hospitalization caused by atrial fibrillation
title Association between ambient air pollution and hospitalization caused by atrial fibrillation
title_full Association between ambient air pollution and hospitalization caused by atrial fibrillation
title_fullStr Association between ambient air pollution and hospitalization caused by atrial fibrillation
title_full_unstemmed Association between ambient air pollution and hospitalization caused by atrial fibrillation
title_short Association between ambient air pollution and hospitalization caused by atrial fibrillation
title_sort association between ambient air pollution and hospitalization caused by atrial fibrillation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6698081/
https://www.ncbi.nlm.nih.gov/pubmed/31452658
http://dx.doi.org/10.22122/arya.v15i3.1843
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