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Association between ambient particulate matter (PM2.5/PM10) and first incident ST-elevation myocardial infarction in Suzhou, China

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Abstract

Interests in evaluation of the effect of air pollution and weather conditions on cardiovascular disease have increased. However, the relationship between short-term particulate matter (PM) exposure and first incident ST-elevation myocardial infarction (STEMI) remains unclear. Medical records were collected from December 2013 to December 2016. A total of 1354 patients with first incident STEMI were included. The daily average of air pollution and weather conditions were calculated. In this case-crossover study, conditional logistic regression was performed to assess the association between daily concentrations of PM and first incident STEMI. The daily average of PM2.5 and PM10 were 58.9 μg/m3 and 80.2 μg/m3, respectively. In this case-crossover study, single-pollutant models showed that each 10 μg/m3 increase in PM2.5 was associated with a percent change of 3.36, 95% confidence interval (CI): (1.01–5.77), or in PM10 percent change of 2.1%, 95%CI: (0.2–4.04) for patients with first incident STEMI. The association remained stable after adjusting for ozone (O3). The results from subgroup analysis showed the association slightly enhanced in women, elder patients, patients with history of diabetes, patients without history of smoking, and cold seasons. The p values were not significant between these strata, which may be due to small sample size. This investigation showed that short-term PM exposure associated with first incident STEMI in Suzhou. Given the effect of PM on the first incident STEMI, strategies to decrease PM should be considered.

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Funding

This work was supported by National Natural Science Foundation of China (Grant No. 81770327) and Suzhou “Promoting Health through Science and Education” Youth Science and Technology Project (KJXW2019004, KJXW2020001).

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Author notes

  1. Qian Sun, Bangming Cao, and Yufeng Jiang contributed equally to this work.

Authors and Affiliations

  1. Department of Pulmonary and Critical Care Medicine, the Affiliated Hospital 4 of Nantong University, the First Hospital of Yancheng, Yancheng City, Jiangsu Province, China

    Qian Sun & Jin Zhuang

  2. Department of Cardiology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai City, Shandong Province, China

    Bangming Cao

  3. Department of Cardiology, Dushu Lake Hospital Affiliated to Soochow University, Suzhou City, Jiangsu Province, China

    Yufeng Jiang

  4. Department of Cardiology, the First Affiliated Hospital of Soochow University, Suzhou City, Jiangsu Province, China

    Chi Zhang & Bin Jiang

Authors
  1. Qian Sun
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  2. Bangming Cao
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  3. Yufeng Jiang
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  4. Jin Zhuang
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  5. Chi Zhang
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  6. Bin Jiang
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Contributions

Qian Sun and Chi Zhang contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Jin Zhuang and Yufeng Jiang. The first draft of the manuscript was written by Bangming Cao and Bin Jiang. All authors read and approved the final manuscript.

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Correspondence to Chi Zhang.

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Sun, Q., Cao, B., Jiang, Y. et al. Association between ambient particulate matter (PM2.5/PM10) and first incident ST-elevation myocardial infarction in Suzhou, China. Environ Sci Pollut Res 29, 62690–62697 (2022). https://doi.org/10.1007/s11356-022-20150-z

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  • DOI: https://doi.org/10.1007/s11356-022-20150-z

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