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Short-term effects of ambient air pollutants and myocardial infarction in Changzhou, China

Environmental Science and Pollution Research volume 25, pages 22285–22293 (2018)Cite this article

Abstract

Ambient air pollution had been shown strongly associated with cardiovascular diseases. However, the association between air pollution and myocardial infarction (MI) is inconsistent. In the present study, we conducted a time-series study to investigate the association between air pollution and MI. Daily air pollutants, weather data, and MI data were collected from January 2015 to December 2016 in Changzhou, China. Generalized linear model (GLM) was used to assess the immediate effects of air pollutants (PM2.5, PM10, NO2, SO2, and O3) on MI. We identified a total of 5545 cases for MI, and a 10-μg/m3 increment in concentrations of PM2.5 and PM10 was associated with respective increases of 1.636% (95% confidence interval [CI] 0.537–2.740%) and 0.805% (95% CI 0.037–1.574%) for daily MI with 2-day cumulative effects. The associations were more robust among males and in the warm season versus the cold one. No significant effect was found in SO2, NO2, or O3. This study suggested that short-term exposure to PM2.5 and PM10 was associated with the increased MI risks. Our results might be useful for the primary prevention of MI exacerbated by air pollutants.

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Acknowledgements

We thank the Changzhou Municipal Environmental Monitoring Center for providing the air pollution data and the Changzhou Municipal Meteorological Monitoring Center for providing the weather data.

Funding

This study was supported by the Natural Science Foundation of China (81502801), a project funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions (2014), a collegiate Natural Science Foundations of Jiangsu province (16KJB330005), the science and technology support program funded by Changzhou Municipal Science and Technology Bureau (CE20145046), and the Science and Technique Foundation for Youths by Health and Family Planning Commission of Changzhou.

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Author notes

  1. Yongquan Yu and Shen Yao contributed equally to this work.

Affiliations

  1. Department of Occupational Medicine and Environmental Health, School of Public Health, Nanjing Medical University, 101 Longmian Avenue, Nanjing, Jiangsu, 211166, People’s Republic of China

    Yongquan Yu, Shen Yao, Minghui Ji & Shou-Lin Wang

  2. Department of Chronic Disease Control and Prevention, Changzhou Center for Disease Control and Prevention, 203 Taishan Road, Changzhou, Jiangsu, 213022, People’s Republic of China

    Huibin Dong, Zhiyong Chen, Guiying Li & Xingjuan Yao

  3. Department of Hygiene Analysis and Detection, School of Public Health, Nanjing Medical University, 101 Longmian Avenue, Nanjing, Jiangsu, 211166, People’s Republic of China

    Zhan Zhang

Authors
  1. Yongquan Yu
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  2. Shen Yao
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  4. Minghui Ji
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  8. Shou-Lin Wang
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  9. Zhan Zhang
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Correspondence to Zhan Zhang.

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The present study was approved by the Institutional Review Board of Changzhou Center for Disease Control and Prevention, and all procedures were in accordance with prevailing ethical principles.

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Responsible editor: Philippe Garrigues

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Yu, Y., Yao, S., Dong, H. et al. Short-term effects of ambient air pollutants and myocardial infarction in Changzhou, China. Environ Sci Pollut Res 25, 22285–22293 (2018). https://doi.org/10.1007/s11356-018-2250-5

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  • DOI: https://doi.org/10.1007/s11356-018-2250-5

Keywords

  • Air pollution
  • Myocardial infarction
  • Time-series study
  • Generalized linear model
  • PM2.5
  • PM10