Associations between air pollution and outpatient visits for arrhythmia in Hangzhou, China
Abstract Background Arrhythmia is a common cardiovascular event that is associated with increased cardiovascular health risks. Previous studies that have explored the association between air pollution and arrhythmia have obtained inconsistent results, and the association between the two in China is...
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doaj-f924a6d1e0ee45b29757d90329d940ca2020-11-25T03:52:16ZengBMCBMC Public Health1471-24582020-10-012011610.1186/s12889-020-09628-yAssociations between air pollution and outpatient visits for arrhythmia in Hangzhou, ChinaMingwei Wang0Juan Chen1Zhi Zhang2Ping Yu3Wentao Gan4Zhaoming Tan5Junzhe Bao6Department of Cardiology, the Affiliated Hospital of Hangzhou Normal UniversityDepartment of Cardiology, the Affiliated Hospital of Hangzhou Normal UniversityDepartment of Cardiology, the Affiliated Hospital of Hangzhou Normal UniversityDepartment of Cardiology, the Affiliated Hospital of Hangzhou Normal UniversityDepartment of Cardiology, the Affiliated Hospital of Hangzhou Normal UniversityNanjing Municipal Human Resources and Social Security BureauCollege of Public Health, Zhengzhou UniversityAbstract Background Arrhythmia is a common cardiovascular event that is associated with increased cardiovascular health risks. Previous studies that have explored the association between air pollution and arrhythmia have obtained inconsistent results, and the association between the two in China is unclear. Methods We collected daily data on air pollutants and meteorological factors from 1st January 2014 to 31st December 2016, along with daily outpatient visits for arrhythmia in Hangzhou, China. We used a quasi-Poisson regression along with a distributed lag nonlinear model to study the association between air pollution and arrhythmia morbidity. Results The results of the single-pollutant model showed that each increase of 10 μg/m3 of Fine particulate matter (PM2.5), Coarse particulate matter (PM10), Sulphur dioxide (SO2), Nitrogen dioxide (NO2), and Ozone (O3) resulted in increases of 0.6% (− 0.9, 2.2%), 0.7% (− 0.4, 1.7%), 11.9% (4.5, 19.9%), 6.7% (3.6, 9.9%), and − 0.9% (− 2.9, 1.2%), respectively, in outpatient visits for arrhythmia; each increase of 1 mg/m3 increase of carbon monoxide (CO) resulted in increase of 11.3% (− 5.9, 31.6%) in arrhythmia. The short-term effects of air pollution on arrhythmia lasted 3 days, and the most harmful effects were observed on the same day that the pollution occurred. Results of the subgroup analyses showed that SO2 and NO2 affected both men and women, but differences between the sexes were not statistically significant. The effect of SO2 on the middle-aged population was statistically significant. The effect of NO2 was significant in both the young and middle-aged population, and no significant difference was found between them. Significant effects of air pollution on arrhythmia were only detected in the cold season. The results of the two-pollutants model and the single-pollutant model were similar. Conclusions SO2 and NO2 may induce arrhythmia, and the harmful effects are primarily observed in the cold season. There is no evidence of PM2.5, PM10, CO and O3 increasing arrhythmia risk. Special attention should be given to sensitive populations during the high-risk period.http://link.springer.com/article/10.1186/s12889-020-09628-yArrhythmiaAir pollutionTime-series analysisSeason |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mingwei Wang Juan Chen Zhi Zhang Ping Yu Wentao Gan Zhaoming Tan Junzhe Bao |
spellingShingle |
Mingwei Wang Juan Chen Zhi Zhang Ping Yu Wentao Gan Zhaoming Tan Junzhe Bao Associations between air pollution and outpatient visits for arrhythmia in Hangzhou, China BMC Public Health Arrhythmia Air pollution Time-series analysis Season |
author_facet |
Mingwei Wang Juan Chen Zhi Zhang Ping Yu Wentao Gan Zhaoming Tan Junzhe Bao |
author_sort |
Mingwei Wang |
title |
Associations between air pollution and outpatient visits for arrhythmia in Hangzhou, China |
title_short |
Associations between air pollution and outpatient visits for arrhythmia in Hangzhou, China |
title_full |
Associations between air pollution and outpatient visits for arrhythmia in Hangzhou, China |
title_fullStr |
Associations between air pollution and outpatient visits for arrhythmia in Hangzhou, China |
title_full_unstemmed |
Associations between air pollution and outpatient visits for arrhythmia in Hangzhou, China |
title_sort |
associations between air pollution and outpatient visits for arrhythmia in hangzhou, china |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2020-10-01 |
description |
Abstract Background Arrhythmia is a common cardiovascular event that is associated with increased cardiovascular health risks. Previous studies that have explored the association between air pollution and arrhythmia have obtained inconsistent results, and the association between the two in China is unclear. Methods We collected daily data on air pollutants and meteorological factors from 1st January 2014 to 31st December 2016, along with daily outpatient visits for arrhythmia in Hangzhou, China. We used a quasi-Poisson regression along with a distributed lag nonlinear model to study the association between air pollution and arrhythmia morbidity. Results The results of the single-pollutant model showed that each increase of 10 μg/m3 of Fine particulate matter (PM2.5), Coarse particulate matter (PM10), Sulphur dioxide (SO2), Nitrogen dioxide (NO2), and Ozone (O3) resulted in increases of 0.6% (− 0.9, 2.2%), 0.7% (− 0.4, 1.7%), 11.9% (4.5, 19.9%), 6.7% (3.6, 9.9%), and − 0.9% (− 2.9, 1.2%), respectively, in outpatient visits for arrhythmia; each increase of 1 mg/m3 increase of carbon monoxide (CO) resulted in increase of 11.3% (− 5.9, 31.6%) in arrhythmia. The short-term effects of air pollution on arrhythmia lasted 3 days, and the most harmful effects were observed on the same day that the pollution occurred. Results of the subgroup analyses showed that SO2 and NO2 affected both men and women, but differences between the sexes were not statistically significant. The effect of SO2 on the middle-aged population was statistically significant. The effect of NO2 was significant in both the young and middle-aged population, and no significant difference was found between them. Significant effects of air pollution on arrhythmia were only detected in the cold season. The results of the two-pollutants model and the single-pollutant model were similar. Conclusions SO2 and NO2 may induce arrhythmia, and the harmful effects are primarily observed in the cold season. There is no evidence of PM2.5, PM10, CO and O3 increasing arrhythmia risk. Special attention should be given to sensitive populations during the high-risk period. |
topic |
Arrhythmia Air pollution Time-series analysis Season |
url |
http://link.springer.com/article/10.1186/s12889-020-09628-y |
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