Prevention & lipidsMeta-analysis

Short-Term PM2.5 Exposure and Cardiovascular Mortality

J Am Coll CardiolPublished

  • Systematic review and meta-analysis
  • 3-stage meta-regression model
  • global burden estimation

Authors' conclusion

A significant nonlinear relationship exists between short-term PM2.5 exposure and cardiovascular mortality.

Study context

Population
Epidemiologic studies of short-term PM2.5 exposure and CV mortality, global literature up to May 2025100 studies · 123 effect estimates
Outcome
Nonlinear exposure-response function for short-term PM2.5 exposure and CV mortality

Pooled result

As reported in the abstract

CV mortality per 10 μg/m3 increase in short-term PM2.5

Pooled relative risk

1.0090

95% CI 1.0074–1.0106

per 10 μg/m3 increase in short-term PM2.5
pooled RR 1.0090 (95% CI 1.0074–1.0106)

Per 10 μg/m3 increase in short-term PM2.5, as printed

Further pooled results

Global CV deaths attributable to PM2.5 pollution episodes (>75 μg/m3) · 2023

Attributable CV deaths
59,399 (95% CI: 38,126-82,413)

Optimal alert value

Optimal alert value
136 μg/m3 (95% CI: 129-148)
Attributable deaths prevented
73.2% (95% CI: 71.8%-76.6%)
At-risk person-days affected
32%

Original publication

Short-Term PM2.5 Exposure and Cardiovascular Mortality. J Am Coll Cardiol. Published 18 February 2026. doi:10.1016/j.jacc.2025.11.055

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