Effects of Asian dust-derived particulate matter on ST-elevation myocardial infarction: retrospective, time series study
DC Field | Value | Language |
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dc.contributor.author | Lee, S. | - |
dc.contributor.author | Lee, W. | - |
dc.contributor.author | Lee, E. | - |
dc.contributor.author | Jeong, M.H. | - |
dc.contributor.author | Rha, S.-W. | - |
dc.contributor.author | Kim, C.-J. | - |
dc.contributor.author | Chae, S.C. | - |
dc.contributor.author | Kim, H.-S. | - |
dc.contributor.author | Gwon, H.-C. | - |
dc.contributor.author | Kim, H. | - |
dc.date.available | 2021-02-19T06:42:51Z | - |
dc.date.issued | 2021-01-07 | - |
dc.identifier.issn | 1471-2458 | - |
dc.identifier.issn | 1471-2458 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/51697 | - |
dc.description.abstract | Background: Dust storms affect human health by impairing visibility and promoting interactions with microscopic organisms, such as bacteria and fungi. Although ST-elevation MI (STEMI) and non-ST-elevation MI (NSTEMI) differ mechanistically, few studies have investigated the incidence of cardiovascular diseases according to infarction type; these studies have yielded inconsistent findings. This study aimed to examine whether PM size (< 2.5 μm (PM2.5) and < 10 μm (PM10)) modifies the effect of Asian dust on acute myocardial infarction (AMI), with separate analyses for STEMI and NSTEMI. Methods: MI-related data from 9934 emergency visits were collected from the Korea AMI Registry from 2005 to 2017. Asian dust events were defined as days with visibility of ≤10 km. Generalized linear models were used to analyze data with natural cubic splines. To examine potential modifiers, analyses were stratified by age, smoking status, and body mass index (BMI). Results: No significant associations were observed between Asian dust and AMI. By adjusting for different lag structures, a significant effect was exclusively observed in STEMI. For moving average lags, the largest value at lag 5 (relative risk [RR] 1.083; 95% confidence interval [CI], 1.007–1.166) for single and lags 0–7 (RR 1.067; 95% CI: 1.002–1.136) was observed for PM2.5; for PM10, the largest significant effect was observed at lag 4 (RR 1.075; 95% CI: 1.010–1.144) for single and lags 0–7 (RR 1.067; 95% CI: 1.002–1.136). RRs were significantly higher in < 65-year-olds than in ≥65-year-olds. Additionally, RRs between the BMI < 25 and BMI ≥ 25 groups were not different; statistically significant effects were observed for concentration at lags 0–5 (RR: 1.073; 95% CI: 1.002–1.150) and lags 0–6 (RR: 1.071; 95% CI: 1.001–1.146) in the BMI < 25 group. A negative exposure-response association was observed between daily average visibility-adjusted PM and STEMI and daily average visibility-adjusted PM in < 65-year-olds. Conclusions: Reducing PM2.5 and PM10 emissions, particularly during the days of Asian dust, may be crucial and reduce STEMI and AMI incidence among < 65-year-olds. These results indicate that the Asian dust alarm system needs revision to protect vulnerable populations. © 2021, The Author(s). | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | BioMed Central Ltd | - |
dc.title | Effects of Asian dust-derived particulate matter on ST-elevation myocardial infarction: retrospective, time series study | - |
dc.type | Article | - |
dc.publisher.location | 영국 | - |
dc.identifier.doi | 10.1186/s12889-020-10067-y | - |
dc.identifier.scopusid | 2-s2.0-85098862343 | - |
dc.identifier.wosid | 000609496100005 | - |
dc.identifier.bibliographicCitation | BMC Public Health, v.21, no.1 | - |
dc.citation.title | BMC Public Health | - |
dc.citation.volume | 21 | - |
dc.citation.number | 1 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Public, Environmental & Occupational Health | - |
dc.relation.journalWebOfScienceCategory | Public, Environmental & Occupational Health | - |
dc.subject.keywordAuthor | Air pollution | - |
dc.subject.keywordAuthor | Asian dust | - |
dc.subject.keywordAuthor | Health effect | - |
dc.subject.keywordAuthor | Myocardial infarction | - |
dc.subject.keywordAuthor | Particulate matter | - |
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