Prevention & lipidsCohort study

Incidence and burden of cardiovascular disease attributable to extreme heat in China

Eur J Prev CardiolPublished

  • Observational study using national surveillance data
  • distributed lag non-linear model

Study context

Population
Incident acute cardiovascular disease (CVD) cases from CVD surveillance in China, 2023
Participants
856,357 incident acute CVD cases
Exposure
Extreme heat and all heat exposure vs minimum incidence temperature
Outcome
Acute CVD incidence by temperature; heat-attributable fraction and number

Main finding

As reported in the abstract

Acute CVD incidence with extreme heat (cumulative)

Cumulative RR

1.17

95% CI 1.05–1.30

Extreme heat vs MIT
cumulative RR 1.17 (95% CI 1.05–1.30)
Attributable fraction, all heat
3.19%
Attributable fraction, extreme heat
0.08%

Observational data: associations, not effects.

Further findings

Acute CVD incidence with extreme heat, by subgroup

ComparisonRR (95% CI)
Extreme heat · aged ≥65 years1.20 (1.05–1.37)
Extreme heat · rural populations1.18 (1.01–1.37)
Extreme heat · temperate monsoon and temperate continental climates1.25 (1.05–1.49)

Minimum incidence temperature (MIT)

MIT range, northern to southern regions; highest MITs in tropical areas
16.0°C to 26.2°C

Original publication

Incidence and burden of cardiovascular disease attributable to extreme heat in China. Eur J Prev Cardiol. Published 15 October 2025. doi:10.1093/eurjpc/zwaf643

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