Relationship between ambient temperature and frequency and severity of cardiovascular emergencies: A prospective observational study based on out-of-hospital care data

Hensel, M.; Stuhr, Markus; Geppert, Daniel; Kersten, Jan Felix; Lorenz, Jürgen; Kerner, Thoralf

doi:10.1016/j.ijcard.2016.11.155

Cited by 14 publications

(16 citation statements)

References 13 publications

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“…As anticipated, the level of PM 2.5 was dramatically lower in the forest site compared to that in urban experimental site. On the other hand, the morbidity of cardiovascular diseases is reported to be related with lower ambient temperature (<10 °C) rather than higher temperature (>20 °C) [33,34]. In our current study, the ambient temperature in the two site was higher than 20 °C (Table 2), thus, we thought it was not the difference of ambient temperature that resulted in the effect of forest bathing on cardiovascular benefits.…”

Section: Discussionmentioning

confidence: 52%

The Salutary Influence of Forest Bathing on Elderly Patients with Chronic Heart Failure

Mao

Cao

Wang

et al. 2017

IJERPH

121

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The aim of the current study was to test the hypothesis that forest bathing would be beneficial for elderly patients with chronic heart failure (CHF) as an adjunctive therapy. Two groups of participants with CHF were simultaneously sent to the forest or an urban control area for a four-day trip, respectively. Subjects exposed to the forest site showed a significant reduction of brain natriuretic peptide (BNP) in comparison to that of the city group and their own baseline levels. The values for the cardiovascular disease related pathological factors, including endothelin-1 (ET-1), and constituents of the renin-angiotensin system (RAS), including renin, angiotensinogen (AGT), angiotensin II (ANGII), and ANGII receptor type 1 or 2 (AT1 or AT2) in subjects exposed to the forest environment were lower than those in the urban control group. Obviously, a decreased level of inflammatory cytokines and improved antioxidant function was observed in the forest group rather than in the city group. The assessment of the profile of mood states (POMS) indicated that the negative emotional mood state was alleviated after forest bathing. As anticipated, a better air quality in the forest site was observed according to the detection of PM2.5 (particulate matter <2.5 μm) and negative ions. These results provided direct evidence that forest bathing has a beneficial effect on CHF patients, and thus may pave the way for potential development of forest bathing as an effective adjunctive therapy on cardiovascular disorders.

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Section: Discussionmentioning

confidence: 52%

The Salutary Influence of Forest Bathing on Elderly Patients with Chronic Heart Failure

Mao

Cao

Wang

et al. 2017

IJERPH

121

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“…A similar AF was found for A Coruña (15.7%). The results obtained from the emergency medical system in Hamburg (Germany) [22] also demonstrated this greater impact for moderate temperatures. The most plausible explanation is that the frequency of days with moderately low or high temperatures is higher than that of days with extreme temperatures.…”

Section: Discussionmentioning

confidence: 78%

Impact of Extreme Temperatures on Ambulance Dispatches Due to Cardiovascular Causes in North-West Spain

Romaní

Royé

Santos³

et al. 2020

IJERPH

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Introduction and objectives. The increase in mortality and hospital admissions associated with high and low temperatures is well established. However, less is known about the influence of extreme ambient temperature conditions on cardiovascular ambulance dispatches. This study seeks to evaluate the effects of minimum and maximum daily temperatures on cardiovascular morbidity in the cities of Vigo and A Coruña in North-West Spain, using emergency medical calls during the period 2005–2017. Methods. For the purposes of analysis, we employed a quasi-Poisson time series regression model, within a distributed non-linear lag model by exposure variable and city. The relative risks of cold- and heat-related calls were estimated for each city and temperature model. Results. A total of 70,537 calls were evaluated, most of which were associated with low maximum and minimum temperatures on cold days in both cities. At maximum temperatures, significant cold-related effects were observed at lags of 3–6 days in Vigo and 5–11 days in A Coruña. At minimum temperatures, cold-related effects registered a similar pattern in both cities, with significant relative risks at lags of 4 to 12 days in A Coruña. Heat-related effects did not display a clearly significant pattern. Conclusions. An increase in cardiovascular morbidity is observed with moderately low temperatures without extremes being required to establish an effect. Public health prevention plans and warning systems should consider including moderate temperature range in the prevention of cardiovascular morbidity.

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“…Представление о крепком сибирском здоровье не подтверждается научными данными, показывающими повышение заболеваемости и смертности при снижении температуры и в регионах с холодным климатом [30][31][32][33].…”

Section: окружающая средаunclassified

Approaches to Personalized Therapy

Belyalov¹

2018

Racionalʹnaâ farmakoterapiâ v kardiologii

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Иркутская государственная медицинская академия последипломного образования Россия, 664079, Иркутск, мкр. Юбилейный, 100 Обсуждаются подходы к персонализированному лечению пациентов, основанные на опыте практической работы врача. Обсуждены ограничения и недостатки клинических рекомендаций, которые должны стать основой принятия решений врачами и оценки качества медицинской помощи. Основу рекомендаций составляют рандомизированные контролируемые исследования, включающие селективные группы пациентов без выраженных коморбидных заболеваний. Соответственно, выводы научных исследований и положения клинических рекомендаций не могут быть применены в полном объеме для многих пациентов с сопутствующими болезнями. Рассмотрены важность учета интересов и позиции пациента, механизмов симптомов, коморбидных соматических и психических заболеваний, временных аспектов болезней, прогнозных оценок, роли окружающей среды и наследственности для выбора оптимальной лечебной программы. Обоснована необходимость совершенствования организации медицинской помощи и разработка компьютерных программ для реализации персонализированной медицины. Важную роль играют хорошая подготовка специалистов по диагностике и лечению коморбидных заболеваний, а также расширение службы врачей общей практики, достаточно обученных для принятия клинических решений и коррекции лечения у пациентов с несколькими соматическими и психическими заболеваниями. Необходимо развивать медицинские программы, подсказывающие врачу более безопасные и эффективные диагностические и лечебные решения в условиях сложного и неочевидного выбора.Ключевые слова: персонализированная медицина, индивидуализированное лечение.

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Relationship between ambient temperature and frequency and severity of cardiovascular emergencies: A prospective observational study based on out-of-hospital care data

Cited by 14 publications

References 13 publications

The Salutary Influence of Forest Bathing on Elderly Patients with Chronic Heart Failure

The Salutary Influence of Forest Bathing on Elderly Patients with Chronic Heart Failure

Impact of Extreme Temperatures on Ambulance Dispatches Due to Cardiovascular Causes in North-West Spain

Approaches to Personalized Therapy

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