Associations between short-term exposure to particulate matter and ultrafine particles and myocardial infarction in Augsburg, Germany

Wolf, Kathrin; Schneider, Alexandra; Breitner, Susanne; Meisinger, Christa; Heier, Margit; Cyrys, Josef; Kuch, Bernhard; Scheidt, Wolfgang von; Peters, Annette

doi:10.1016/j.ijheh.2015.05.002

Cited by 51 publications

(33 citation statements)

References 30 publications

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“…The literature on the health effects of UFP is growing rapidly [17]. Acute exposure to ambient UFP has been associated with decreased lung function, decreased heart rate variability, increased inflammation and coagulation in the lungs and peripheral blood, and risk of myocardial infarctions [18–24]. Chronic ambient exposure to UFP has been associated with increased risks of overall and cardiovascular mortality and increased systemic inflammation and oxidative stress [17, 25, 26].…”

Section: Introductionmentioning

confidence: 99%

Occupational exposures and determinants of ultrafine particle concentrations during laser hair removal procedures

et al. 2017

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BackgroundOccupational exposures to ultrafine particles in the plume generated during laser hair removal procedures, the most commonly performed light based cosmetic procedure, have not been thoroughly characterized. Acute and chronic exposures to ambient ultrafine particles have been associated with a number of negative respiratory and cardiovascular health effects. Thus, the aim of this study was to measure airborne concentrations of particles in a diameter size range of 10 nm to 1 μm in procedure rooms during laser hair removal procedures.MethodsTSI Model 3007 Condensation Particle Counters were used to quantify the particle count concentrations in the waiting and procedure rooms of a dermatology office. Particle concentrations were sampled before, during, and after laser hair removal procedures, and characteristics of each procedure were noted by the performing dermatologist.ResultsTwelve procedures were sampled over 4 days. Mean ultrafine particle concentrations in the waiting and procedure rooms were 14,957.4 particles/cm3 and 22,916.8 particles/cm3 (p < 0.0001), respectively. Compared to background ultrafine particle concentrations before the procedure, the mean concentration in the procedure room was 2.89 times greater during the procedure (p = 0.009) and 2.09 times greater after the procedure (p = 0.007). Duration of procedure (p = 0.006), body part (p = 0.013), and the use of pre-laser lotion/type of laser (p = 0.039), were the most important predictors of ultrafine particle concentrations. Use of a smoke evacuator (a recommended form of local exhaust ventilation) positioned at 30.5 cm from the source, as opposed to the recommended 1–2 in., lowered particle concentrations, but was not a statistically significant predictor (p = 0.49).ConclusionsLaser hair removal procedures can generate high exposures to ultrafine particles for dermatologists and other individuals performing laser hair removal, with exposure varying based on multiple determinants.

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Section: Introductionmentioning

confidence: 99%

Occupational exposures and determinants of ultrafine particle concentrations during laser hair removal procedures

et al. 2017

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“…Particulate air pollution has also been associated with the increased occurrence of IHD hospital admissions, including both types of fine particulate matters with aerodynamic diameters of <10 μm (PM 10 ) and ≤2.5 (PM 2.5 ) [4,5,6]. Several epidemiological studies have indicated that short-term increases in ambient air pollutants may increase the mortality, hospital admissions, and emergency visits for patients with cardiovascular diseases [7,8,9,10]. A report by the World Health Organization (WHO) indicated that particulate matters (PMs) accounted for as much as 9.4% of all kinds of IHD [11], which suggested that particulate air pollution was one of the world’s leading environmental health risks.…”

Section: Introductionmentioning

confidence: 99%

Acute Effects of Particulate Air Pollution on Ischemic Heart Disease Hospitalizations in Shanghai, China

Jiang

et al. 2017

IJERPH

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Background: Air pollution has been demonstrated to be a major risk factor for the development of cardiovascular and respiratory diseases worldwide. This study examines the relationship between the exposure to fine particulate matter (PM) and patient hospitalizations as a result of ischemic heart disease (IHD) during 2013–2014 in Shanghai, China. Methods: Daily IHD hospitalization data were acquired from the Shanghai Health Insurance Bureau (SHIB) from 1 January 2013 to 21 December 2014. Daily average concentrations of air pollution as well as meteorological data were obtained from the database of Shanghai Environmental Monitoring Center (SEMC) during the same time period, and all data were analyzed using standard epidemiological methodology. Generalized linear model (GLM) adjusted for time trends, weather conditions, and medical insurance policy was used to estimate the immediate and delayed effects of PMs on IHD hospitalizations, and the effects of PMs were also examined based on gender, age group and seasonal variation. Results: A total of 188,198 IHD hospitalizations were recorded during 2013–2014 in Shanghai, China. During this period, the average concentrations of the fine particulate matter with aerodynamic diameter of <10 μm (PM10) and ≤2.5 (PM2.5) were 76 µg/m3 and 56.3 µg/m3, respectively. The effect of PMs was strongest on days when a 10 μg/m3 increment increase of PM2.5 and PM10, which coincided with an increase in IHD hospitalizations by 0.25% (95% CI: 0.10%, 0.39%) and 0.57% (95% CI: 0.46%, 0.68%), respectively. Furthermore, the effect of PMs was significantly greater in males and people between 41 and 65 years old. Conclusions: Hospitalizations of IHD was strongly associated with short-term exposure to high levels of PM10 and PM2.5 during 2013–2014 in Shanghai, China.

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“…only studied PM 2.5 in their study and Wolf et al. examined PM 2.5‐10 and particle number concentration, which were shown to have a positive association with incidences of cardiovascular events and mortality . The effect of PM on the human body can be different based on configuration conditions of particulate matter .…”

Section: Discussionmentioning

confidence: 99%

“…It is well‐known that increased inflammation is associated with worse clinical outcomes in AMI patients . Ambient air pollution is well‐known to be a serious risk factor for hospital admissions, CVD, stroke, and death . These associations may be due to the fact that an exposure to air pollutants (AP) could cause an impairment of glucose homeostasis, endothelial function or vascular tone, which are all related to systemic inflammation .…”

Section: Introductionmentioning

confidence: 99%

“…These associations may be due to the fact that an exposure to air pollutants (AP) could cause an impairment of glucose homeostasis, endothelial function or vascular tone, which are all related to systemic inflammation . Therefore, exposure to AP (e.g., nitrogen dioxide, NO 2 ; sulphur dioxide, SO 2 ; carbon monoxide, CO; ozone, O 3 ; particulate matter with aerodynamic diameter ≤10 μm in size, PM 10 ) may cause and even hasten the development of AMI . However, there are limited data from real world clinical settings.…”

Section: Introductionmentioning

confidence: 99%

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Air pollution and short‐term clinical outcomes of patients with acute myocardial infarction

Lee

Choi

Kim

et al. 2017

Clin Exp Pharma Physio

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Ambient air pollution is well-known to be a serious risk factor for cardiovascular diseases, stroke, and death. However, the association between air pollutants (AP) exposure and short-term clinical outcomes in acute myocardial infarction (AMI) patients (pts) has not been elucidated well. In the present study, 37 880 AMI pts were enrolled from October 2005 to December 2013 in a nationwide large-scale, prospective, multicentre Korea AMI registry (KAMIR registry; http://www.kamir.or.kr). We obtained data on AP (e.g., NO , SO , CO, O and PM ) from the Korean National Institute of Environmental Research (NIER; http://www.nier.go.kr). Clinical endpoints included death, recurrent myocardial infarction (Re-MI), any revascularization and composite of all-cause death and Re-MI. Exposure to AP is defined as the average exposure to AP within 24 hours before AMI admission. We observed that a 0.01 part per million (ppm) increase in NO concentration, 0.001 ppm increase in SO concentration, and 0.1 ppm increase in CO concentration each increased the risk of total death by 9.7% (95% CI, 6.2%-13.4%), 1.9% (95% CI, 0.3%-3.6%), and 2.1% (95% CI, 0.5%-3.9%), respectively. Exceptionally, O decreased the risk of total death by 0.6% (95% CI -0.2% to -1.0%) per 0.01 ppm increase. PM was not related to any cardiovascular events. AP were each stratified into five quintiles according to ranges of AP levels. After adjusting analysis for risk variables, only high quintiles (Q4, Q5) of NO were positively associated with total death, cardiac death and MI, while SO , CO, O and PM were shown to be not related to any cardiovascular events at all levels. In AMI patients, each AP and its concentration has shown a different effect to short-term mortality and cardiovascular events.

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Associations between short-term exposure to particulate matter and ultrafine particles and myocardial infarction in Augsburg, Germany

Cited by 51 publications

References 30 publications

Occupational exposures and determinants of ultrafine particle concentrations during laser hair removal procedures

Occupational exposures and determinants of ultrafine particle concentrations during laser hair removal procedures

Acute Effects of Particulate Air Pollution on Ischemic Heart Disease Hospitalizations in Shanghai, China

Air pollution and short‐term clinical outcomes of patients with acute myocardial infarction

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