Short-Term Changes in Weather Conditions and the Risk of Acute Coronary Syndrome Hospitalization with and without ST-Segment Elevation: A Focus on Vulnerable Subgroups
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Meteorological Data
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Study Limitations
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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ACS (n = 5300) | |
---|---|
Age (years) | 62.1 ± 11.5 |
Gender | |
(male) | 3827 (72.2%) |
(female) | 1473 (27.8%) |
Body mass index (kg/m2) | 28.7 ± 5.1 |
Cardiovascular risk factors | |
Smoking | 2104 (39.7%) |
Diabetes mellitus | 1427 (26.9%) |
Arterial hypertension | 3826 (72.2%) |
Hypercholesterolemia | 1978 (37.3%) |
Family History | 188 (3.5%) |
Clinical parameters at admission | |
SBP (mmHg) | 138.4 ± 23.6 |
DBP (mmHg) | 81.5 ± 14.1 |
HR (bpm) | 77.4 ± 21.0 |
Coronary angiography | |
Single-vessel lesion | 2164 (40.8%) |
Two-vessel lesion | 1702 (32.1%) |
Three-vessel lesion | 1434 (27.1%) |
LVEF (%) | 43.7 ± 7.9 |
Type of treatment | |
Conservative | 484 (9.1%) |
Balloon angioplasty | 94 (1.8%) |
Angioplasty and stent placement | 4537 (85.6%) |
CABG | 185 (3.5%) |
Total Days (n = 3475) | Mean ± SD | Minimum | Percentiles | Maximum | ||
---|---|---|---|---|---|---|
Variables | 25th | 50th | 75th | |||
Atmospheric Temperature (°C) | 11.8 ± 8.7 | −15.4 | 4.9 | 11.2 | 19.1 | 31.5 |
Atmospheric Pressure (mbar) | 999.8 ± 11.1 | 963.3 | 991.3 | 1001.0 | 1007.3 | 1033.9 |
Relative Humidity (%) | 73.6 ± 14.1 | 32 | 63 | 74 | 85 | 100 |
Wind Speed (m/s) | 1.9 ± 1.0 | 0.3 | 1.2 | 1.6 | 2.3 | 8.7 |
Precipitation (mm/24 h) | 1.7 ± 4.4 | 0 | 0 | 0 | 0.9 | 61.2 |
Sunshine duration (hours per day) | 5.7 ± 4.2 | 0 | 1.4 | 6.0 | 9.3 | 14.4 |
Cloud Cover (hours per day) | 5.4 ± 3.3 | 0 | 2.5 | 5.5 | 8.5 | 10 |
Variable | Relative Risk | 95% CI | p-Value |
---|---|---|---|
Atmospheric Temperature (°C) | 1.059 | 1.048–1.070 | <0.001 |
Atmospheric Pressure (mbar) | 1.024 | 1.019–1.028 | <0.001 |
Relative Humidity (%) | 1.005 | 1.001–1.008 | 0.012 |
Wind Speed (m/s) | 1.014 | 0.983–1.045 | 0.394 |
Precipitation (mm/24 h) | 1.004 | 0.999–1.008 | 0.112 |
Sunshine Duration (hours per day) | 1.047 | 1.032–1.062 | <0.001 |
Cloud Cover (hours per day) | 1.039 | 1.023–1.056 | <0.001 |
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Rus, A.-A.; Lazăr, M.-A.; Negrea, R.; Cozlac, A.-R.; Văcărescu, C.; Şoşdean, R.; Luca, S.-A.; Gaiţă, D.; Mornoş, C. Short-Term Changes in Weather Conditions and the Risk of Acute Coronary Syndrome Hospitalization with and without ST-Segment Elevation: A Focus on Vulnerable Subgroups. Medicina 2024, 60, 454. https://doi.org/10.3390/medicina60030454
Rus A-A, Lazăr M-A, Negrea R, Cozlac A-R, Văcărescu C, Şoşdean R, Luca S-A, Gaiţă D, Mornoş C. Short-Term Changes in Weather Conditions and the Risk of Acute Coronary Syndrome Hospitalization with and without ST-Segment Elevation: A Focus on Vulnerable Subgroups. Medicina. 2024; 60(3):454. https://doi.org/10.3390/medicina60030454
Chicago/Turabian StyleRus, Andreea-Alexandra, Mihai-Andrei Lazăr, Romeo Negrea, Alina-Ramona Cozlac, Cristina Văcărescu, Raluca Şoşdean, Silvia-Ana Luca, Dan Gaiţă, and Cristian Mornoş. 2024. "Short-Term Changes in Weather Conditions and the Risk of Acute Coronary Syndrome Hospitalization with and without ST-Segment Elevation: A Focus on Vulnerable Subgroups" Medicina 60, no. 3: 454. https://doi.org/10.3390/medicina60030454