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Association between Outdoor Air Pollution and Fatal Acute Myocardial Infarction in Lithuania between 2006 and 2015: A Time Series Design

Author

Listed:
  • Vidmantas Vaičiulis

    (Health Research Institute, Lithuanian University of Health Sciences, Tilzes St. 18, 47181 Kaunas, Lithuania
    Department of Environmental and Occupational Medicine, Lithuanian University of Health Sciences, Tilzes St. 18, 47181 Kaunas, Lithuania)

  • Jonė Venclovienė

    (Department of Environmental Sciences, Vytautas Magnus University, Donelaičio St. 58, 44248 Kaunas, Lithuania
    Institute of Cardiology, Lithuanian University of Health Sciences, Sukileliu Ave. 15, 50162 Kaunas, Lithuania)

  • Auksė Miškinytė

    (Department of Environmental Sciences, Vytautas Magnus University, Donelaičio St. 58, 44248 Kaunas, Lithuania)

  • Rūta Ustinavičienė

    (Department of Environmental and Occupational Medicine, Lithuanian University of Health Sciences, Tilzes St. 18, 47181 Kaunas, Lithuania)

  • Audrius Dėdelė

    (Department of Environmental Sciences, Vytautas Magnus University, Donelaičio St. 58, 44248 Kaunas, Lithuania)

  • Gintarė Kalinienė

    (Health Research Institute, Lithuanian University of Health Sciences, Tilzes St. 18, 47181 Kaunas, Lithuania
    Department of Environmental and Occupational Medicine, Lithuanian University of Health Sciences, Tilzes St. 18, 47181 Kaunas, Lithuania)

  • Dalia Lukšienė

    (Department of Environmental and Occupational Medicine, Lithuanian University of Health Sciences, Tilzes St. 18, 47181 Kaunas, Lithuania
    Institute of Cardiology, Lithuanian University of Health Sciences, Sukileliu Ave. 15, 50162 Kaunas, Lithuania)

  • Abdonas Tamošiūnas

    (Institute of Cardiology, Lithuanian University of Health Sciences, Sukileliu Ave. 15, 50162 Kaunas, Lithuania)

  • Laura Seiduanova

    (Department of Health Politics and Management, School of Public Health, Asfendiyarov Kazakh National Medical University, Almaty 050000, Kazakhstan)

  • Ričardas Radišauskas

    (Department of Environmental and Occupational Medicine, Lithuanian University of Health Sciences, Tilzes St. 18, 47181 Kaunas, Lithuania
    Institute of Cardiology, Lithuanian University of Health Sciences, Sukileliu Ave. 15, 50162 Kaunas, Lithuania)

Abstract

Background. Air pollution has a significant effect on human health and there is a broad body of evidence showing that exposure to air pollution is associated with an increased risk of adverse health effects. The main objective of this study was to assess the association of traffic-related air pollutants with fatal AMI during the ten-year period. Methods. The study was conducted in Kaunas city, where the WHO MONICA register included a total of 2273 adult cases of fatal AMI cases during the 10-year study period. We focused on the period between 2006 and 2015. The associations between exposure to traffic-related air pollution and the risk of fatal AMI were evaluated by using a multivariate Poisson regression model, RR presented per an increase in IQR. Results. It was found that the risk of fatal AMI was significantly higher in all subjects (RR 1.06; 95% CI 1.00–1.12) and women (RR 1.12; 95% CI 1.02–1.22) when the concentration of PM 10 in the ambient air was increased 5–11 days before the onset of AMI, adjusting for NO 2 concentration. The effect was stronger during spring in all subjects (RR 1.12; 95% CI 1.03–1.22), in men (RR 1.13; 95% CI 1.01–1.26), in younger-aged (RR 1.15; 95% CI 1.03–1.28), and in winter in women (RR 1.24; 95% CI 1.03–1.50). Conclusions. Our findings show that ambient air pollution increases the risk of fatal AMI, and this pertains to PM 10 specifically.

Suggested Citation

  • Vidmantas Vaičiulis & Jonė Venclovienė & Auksė Miškinytė & Rūta Ustinavičienė & Audrius Dėdelė & Gintarė Kalinienė & Dalia Lukšienė & Abdonas Tamošiūnas & Laura Seiduanova & Ričardas Radišauskas, 2023. "Association between Outdoor Air Pollution and Fatal Acute Myocardial Infarction in Lithuania between 2006 and 2015: A Time Series Design," IJERPH, MDPI, vol. 20(5), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4549-:d:1087405
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    References listed on IDEAS

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    1. Denis Vinnikov & Zhangir Tulekov & Aizhan Raushanova, 2020. "Occupational exposure to particulate matter from air pollution in the outdoor workplaces in Almaty during the cold season," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-13, January.
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    5. Manfred Neuberger & Hanns Moshammer & Daniel Rabczenko, 2013. "Acute and Subacute Effects of Urban Air Pollution on Cardiopulmonary Emergencies and Mortality: Time Series Studies in Austrian Cities," IJERPH, MDPI, vol. 10(10), pages 1-24, October.
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