Coronary disease & ACSCohort study

Tropical cyclones and acute coronary syndromes: a Chinese nationwide study

Eur Heart JPublished

  • Time-stratified case-crossover study
  • nationwide registry

Authors' conclusion

TC exposure may increase the ACS burden by simultaneously increasing the risk of incidence and delaying treatment.

Study context

Population
Acute coronary syndrome (ACS) patients from a nationwide registry in mainland China, 2015–2022
Participants
2,563,780 patients
Exposure
Tropical cyclone (TC) days vs non-TC days
Outcome
ACS incidence

Main finding

As reported in the abstract

ACS risk · 0-3 days after TC exposure

Increase in ACS risk after TC exposure

14% (95% CI 2% to 27%)

Observational data: associations, not effects.

Further findings

Delay in self-referral to hospital

Admission-to-catheterization time

ACS risk by subgroup

Stronger associations among males, lower education levels and those with more ACS risk factors

Original publication

Tropical cyclones and acute coronary syndromes: a Chinese nationwide study. Eur Heart J. Published 18 February 2026. doi:10.1093/eurheartj/ehag066

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