Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China

Abstract Limited evidence is available on apparent temperature (AT) and hospital admissions for acute cardiac events. We examined the associations of AT with admissions for acute cardiac events and acute coronary syndrome (ACS), and explored the effect difference between ST-elevation myocardial infa...

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Autores principales:	Na Li, Junxiong Ma, Fangjing Liu, Yan Zhang, Pengkun Ma, Yinzi Jin, Zhi-Jie Zheng
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cedfb5a643484d45a7e36fea79a9dfdf
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spelling	oai:doaj.org-article:cedfb5a643484d45a7e36fea79a9dfdf2021-12-02T18:46:57ZAssociations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China10.1038/s41598-021-94738-92045-2322https://doaj.org/article/cedfb5a643484d45a7e36fea79a9dfdf2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94738-9https://doaj.org/toc/2045-2322Abstract Limited evidence is available on apparent temperature (AT) and hospital admissions for acute cardiac events. We examined the associations of AT with admissions for acute cardiac events and acute coronary syndrome (ACS), and explored the effect difference between ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction ACS (NSTE-ACS). Poisson regression with distributed lag non-linear model was applied to examine the temperature-lag-admission associations. Stratified analyses were performed by gender and age-groups for acute cardiac events. A total of 11,657 acute cardiac events admissions were collected from hospital-based chest pain centers in Beijing, during 2017–2019. The single day effect of low AT (− 11 °C, 2.5th percentile) appeared on the 2nd day and persisted until the 11th day, with estimated relative risk (RR) ranging from 1.44 (95% CI: 1.159, 1.790) to 1.084 (95% CI: 1.022, 1.150) for acute cardiac events and from 1.034 (95% CI: 1.010, 1.059) to 1.006 (95% CI: 1.000, 1.011) for ACS. The single day effect of high AT (34 °C, 97.5th percentile) was only observed on the current day. The cold effect on acute cardiac events was more pronounced among female and older patients. The cumulative effect of high AT on STEMI admissions and low AT on NSTE-ACS reached a peak RR peak of 2.545 (95% CI: 1.016, 6.375) and 3.71 (95% CI: 1.315, 10.469) on lag 0–6 days, respectively. Both high and low ATs were associated with increased risk of acute cardiac events and ACS admissions. STEMI admissions may be more sensitive to high AT while NSTE-ACS to low AT.Na LiJunxiong MaFangjing LiuYan ZhangPengkun MaYinzi JinZhi-Jie ZhengNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Na Li Junxiong Ma Fangjing Liu Yan Zhang Pengkun Ma Yinzi Jin Zhi-Jie Zheng Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China
description	Abstract Limited evidence is available on apparent temperature (AT) and hospital admissions for acute cardiac events. We examined the associations of AT with admissions for acute cardiac events and acute coronary syndrome (ACS), and explored the effect difference between ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction ACS (NSTE-ACS). Poisson regression with distributed lag non-linear model was applied to examine the temperature-lag-admission associations. Stratified analyses were performed by gender and age-groups for acute cardiac events. A total of 11,657 acute cardiac events admissions were collected from hospital-based chest pain centers in Beijing, during 2017–2019. The single day effect of low AT (− 11 °C, 2.5th percentile) appeared on the 2nd day and persisted until the 11th day, with estimated relative risk (RR) ranging from 1.44 (95% CI: 1.159, 1.790) to 1.084 (95% CI: 1.022, 1.150) for acute cardiac events and from 1.034 (95% CI: 1.010, 1.059) to 1.006 (95% CI: 1.000, 1.011) for ACS. The single day effect of high AT (34 °C, 97.5th percentile) was only observed on the current day. The cold effect on acute cardiac events was more pronounced among female and older patients. The cumulative effect of high AT on STEMI admissions and low AT on NSTE-ACS reached a peak RR peak of 2.545 (95% CI: 1.016, 6.375) and 3.71 (95% CI: 1.315, 10.469) on lag 0–6 days, respectively. Both high and low ATs were associated with increased risk of acute cardiac events and ACS admissions. STEMI admissions may be more sensitive to high AT while NSTE-ACS to low AT.
format	article
author	Na Li Junxiong Ma Fangjing Liu Yan Zhang Pengkun Ma Yinzi Jin Zhi-Jie Zheng
author_facet	Na Li Junxiong Ma Fangjing Liu Yan Zhang Pengkun Ma Yinzi Jin Zhi-Jie Zheng
author_sort	Na Li
title	Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China
title_short	Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China
title_full	Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China
title_fullStr	Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China
title_full_unstemmed	Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China
title_sort	associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in beijing, china
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/cedfb5a643484d45a7e36fea79a9dfdf
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Associations of apparent temperature with acute cardiac events and subtypes of acute coronary syndromes in Beijing, China

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