Coronary disease & ACS

Associations between air pollution and the risk of first admission and multiple readmissions for cardiovascular diseases

HeartPublished Prospective cohort study

Authors' conclusion

This study provides evidence that ambient air pollutants might play an important role in both first admission and readmission for cardiovascular events. In addition, patients with pre-existing CVDs may be more vulnerable to air pollution compared with healthy population.

Study context

Population
Participants free of cardiovascular disease (CVD) at baseline, UK Biobank
Participants
285,009 participants
Exposure
Ambient air pollution exposure
Outcome
First admission and multiple readmissions for CVD (chronic ischaemic heart disease (CIHD), cerebrovascular disease, AF, HF)
Follow-up
Median 12 years
Methodological detailsUK Biobank
  • UK Biobank

Main finding

As reported in the abstract

CVD admission and readmission, per IQR increase of particulate matter ≤2.5 µm
Per IQR increase of particulate matter ≤2.5 µmAdjusted hazard ratio (95% CI)
First admission, cerebrovascular disease
1.130(1.070–1.194)
Readmission, cerebrovascular disease
1.270(1.137–1.418)
First admission, CIHD
1.060(1.008–1.114)
Readmission, CIHD
1.120(1.070–1.171)

Per IQR increase of particulate matter ≤2.5, as printed

Observational data: associations, not effects.

Further findings

Sex-stratified analyses

Associations generally more pronounced among females than males

Original publication

Associations between air pollution and the risk of first admission and multiple readmissions for cardiovascular diseases. Heart. Published 6 September 2023. doi:10.1136/heartjnl-2023-322682

Summarised from the published abstract; every number is checked against it

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