Acute cardiac care & resuscitation

Air pollution and out-of-hospital cardiac arrest risk: a 7-year study from a highly polluted area

Eur Heart J Acute Cardiovasc CarePublished Prospective cohort study

Authors' conclusion

Short- and mid-term exposures to PM2.5 and PM10 are independently associated with the risk of OHCA due to asystole or shockable rhythm.

Study context

Population
Out-of-hospital cardiac arrest (OHCAs) in a highly polluted urban area in northern Italy with high AED density, 2010–2017OHCAs in 748 days
Participants
880 participants
Exposure
Air pollutant levels and OHCA risk
Outcome
OHCA risk by short-, mid- and long-term air pollution exposure

Main finding

As reported in the abstract

OHCA risk

Increase in OHCA risk per 10 μg/m³ increase in PM10

9%

Increase in OHCA risk per 10 μg/m³ increase in PM2.5

12%

Observational data: associations, not effects.

Further findings

OHCA by presenting rhythm

Air pollutant levels associated with both asystole and shockable rhythm risk
No correlation with pulseless electrical activity

Original publication

Air pollution and out-of-hospital cardiac arrest risk: a 7-year study from a highly polluted area. Eur Heart J Acute Cardiovasc Care. Published 14 September 2023. doi:10.1093/ehjacc/zuad105

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