气象参数对急性心肌梗死事件发生频率的影响：一项回顾性研究Kafkas Journal of Medical Sciences » Submission » Effect of Meteorological Parameters on the Frequency of Acute Myocardial İnfarction Events: A Retrospective Study

环球医讯 / 心脑血管来源：dergipark.org.tr土耳其 - 英语2026-05-19 03:31:18 - 阅读时长20分钟 - 9856字
本研究调查了土耳其阿马西亚地区的气象参数对急性心肌梗死(AMI)发生频率的影响。研究评估了6年间不稳定型心绞痛、非ST段抬高型心肌梗死和ST段抬高型心肌梗死等AMI亚型的发生频率与气象参数之间的关联。结果显示，AMI发生频率在冬季显著增加；夏季平均气压与非ST段抬高型心肌梗死事件数量存在显著正相关；夏季ST段抬高型心肌梗死风险比冬季高1,174倍；冬季非ST段抬高型心肌梗死和不稳定型心绞痛风险分别比夏季高1,138倍和1,350倍；气温与AMI风险密切相关。研究建议提高避免长时间暴露在寒冷天气中的意识，以降低与低温相关AMI的风险。
急性心肌梗死不稳定型心绞痛非ST段抬高型心肌梗死ST段抬高型心肌梗死气温寒冷天气动脉粥样硬化
气象参数对急性心肌梗死事件发生频率的影响：一项回顾性研究

目的：环境因素、饮食、运动、吸烟以及心理和生理压力会影响急性心肌梗死(AMI)的发生频率。天气事件也会影响这一频率。本研究旨在调查土耳其阿马西亚地区的气象参数对AMI发生频率的影响。

材料与方法：我们评估了6年间AMI亚型（如不稳定型心绞痛[USAP]、非ST段抬高型心肌梗死[NSTEMI]或ST段抬高型心肌梗死[STEMI]）的发生频率与气象参数之间的关联。

结果：AMI发生频率在冬季显著增加。在夏季，平均气压与NSTEMI事件数量之间存在显著正相关关系。夏季STEMI风险比冬季高1,174倍，比春季高1,214倍。冬季非ST段抬高型心肌梗死风险比夏季高1,138倍。冬季USAP风险比夏季高1,350倍。在夏季，总降水量与USAP事件数量之间观察到显著正相关关系。在气象参数中，气温与AMI风险密切相关。

结论：我们观察到，当平均气温较低时，尤其是冬季，AMI发生频率会增加。因此，提高避免长时间暴露在寒冷天气中的意识有助于降低与低温相关AMI的风险。

关键词：急性心肌梗死，气温，动脉粥样硬化，寒冷天气

参考文献：

  1. Claeys MJ, Rajagopalan S, Nawrot TS, Brook RD. Climate and environmental triggers of acute myocardial infarction. Eur Heart J. 2017;38:955–60.
  2. Claeys MJ, Coenen S, Colpaert C, Bilcke J, Beutels P, Wouters K, et al. Environmental triggers of acute myocardial infarction: Results of a nationwide multiple-factorial population study. Acta Cardiol. 2015;70:693–701.
  3. Cheng J, Bambrick H, Tong S, Su H, Xu Z, Hu W. Winter temperature and myocardial infarction in Brisbane, Australia: spatial and temporal analyses. Sci Total Environ. 2020;715:136860.
  4. Miao H, Bao W, Lou P, Chen P, Zhang P, Chang G, et al. Relationship between temperature and acute myocardial infarction: A time series study in Xuzhou, China, from 2018 to 2020. BMC Public Health. 2024;24:2645.
  5. Vieira S, Santos M, Magalhães R, Oliveira M, Costa R, Brochado B, et al. Atmospheric features and risk of STelevation myocardial infarction in Porto (Portugal): a temperate mediterranean (CSB) city. Rev Port Cardiol. 2022;41:51–8.
  6. Wanitschek M, Ulmer H, Süssenbacher A, Dörler J, Pachinger O, Alber HF. Warm winter is associated with low incidence of ST elevation myocardial infarctions and less frequent acute coronary angiographies in an alpine country. Herz. 2013;38:163–70.
  7. Kienbacher CL, Kaltenberger R, Schreiber W, Tscherny K, Fuhrmann V, Roth D, et al. Extreme weather conditions as a gender-specific risk factor for acute myocardial infarction. Am J Emerg Med. 2021;43:50–3.
  8. de Boer AR, Riezebos-Brilman A, van Hout D, van Mourik MSM, Rümke LW, de Hoog MLA, et al. Influenza infection and acute myocardial infarction. NEJM Evid. 2024;3:EVIDoa2300361.
  9. Maeda K, Kuriyama N, Noguchi D, Ito T, Gyoten K, Hayasaki A, et al. Xa inhibitor edoxaban ameliorates hepatic ischemiareperfusion injury via PAR-2-ERK 1/2 pathway. PloS One. 2024;19(5):e0292628.
  10. Liu X, Kong D, Fu J, Zhang Y, Liu Y, Zhao Y, et al. Association between extreme temperature and acute myocardial infarction hospital admissions in Beijing, China:2013–2016. PLOS One. 2018;13:e0204706.
  11. Zhang Y, Peng, M, Wang L, & Yu C. Association of diurnal temperature range with daily mortality in England and Wales: a nationwide time-series study. Science of the total environment. 2018;619:291–300.
  12. Requia WJ, Alahmad B, Schwartz JD, & Koutrakis P. Association of low and high ambient temperature with mortality for cardiorespiratory diseases in Brazil. Environmental Research. 2023;234:116532.
  13. Higuma T, Yoneyama K, Nakai M, Kaihara T, Sumita Y, Watanabe M, et al. Effects of temperature and humidity on acute myocardial infarction hospitalization in a super-aging society. Sci Rep. 2021;11:22832(123AD).
  14. Gebhard C, Gebhard CE, Stähli BE, Maafi F, Bertrand MJ, Wildi K, et al. Weather and risk of ST-elevation myocardial infarction revisited: Impact on young women. PLoS One. 2018;13:e0195602.
  15. Yang J, Zhou M, Ou CQ, Yin P, Li M, Tong S, et al. Seasonal variations of temperature-related mortality burden from cardiovascular disease and myocardial infarction in China. Environ Pollut. 2017;224:400–6.
  16. Marchini JF, Manica, A, Crestani P, Dutzmann J, Folco EJ, Weber H, et al. Oxidized low‐density lipoprotein induces macrophage production of prothrombotic microparticles. Journal of the American Heart Association. 2020;9(15):e015878.
  17. Javadi E, Deng Y, Karniadakis GE, & Jamali S. In silico biophysics and hemorheology of blood hyperviscosity syndrome. Biophysical Journal. 2021;120(13):2723–33.
  18. Staiger H, Laschewski G, Grätz A. The perceived temperature - A versatile index for the assessment of the human thermal environment. Part A. Scientific basics. Int J Biometeorol. 2012;56:165–76.
  19. Chu ML, Shih CY, Hsieh TC, Chen HL, Lee CW, Hsieh JC. Acute myocardial infarction hospitalizations between cold and hot seasons in an island across tropical and subtropical climate zones—A population-based study. Int J Environ Res Public Health. 2019;16:2769.
  20. Akhtar Z, Götberg M, Erlinge D, Christiansen EH, Oldroyd KG, Motovska Z. et al. Optimal timing of influenza vaccination among patients with acute myocardial infarction-Findings from the IAMI trial. Vaccine. 2023;41(48):7159–65.
  21. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, et al. Fourth universal definition of myocardial infarction (2018). J Am Coll Cardiol. 2018;72:2231–64.
  22. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, et al. Fourth universal definition of myocardial infarction (2018). Circulation. 2018;138:e618–e651.
  23. Yılmaz Y. Amasya Şehri'nin İklim Yapısı ve Özellikleri. Journal of Graduate School of Social Sciences. 2020;31;24:167–86.
  24. Ravljen M, Hovelja T, Vavpotič D. Immediate, lag and time window effects of meteorological factors on ST-elevation myocardial infarction incidence. Chronobiol Int. 2018;35:6371.
  25. García-Lledó A, Rodríguez-Martín S, Tobías A, Alonso-Martín J, Ansede-Cascudo JC, de Abajo FJ. Heat waves, ambient temperature, and risk of myocardial infarction: An ecological study in the Community of Madrid. Rev Esp Cardiol (Engl Ed). 2020;73:300–6.
  26. Versaci F, Biondi-Zoccai G, Giudici AD, Mariano E, Trivisonno A, Sciarretta S, et al. Climate changes and ST-elevation myocardial infarction treated with primary percutaneous coronary angioplasty. Int J Cardiol. 2019;294:1–5.
  27. Fernández-García JM, Dosil Díaz O, Taboada Hidalgo JJ, Fernández JR, Sánchez-Santos L. Influence of weather in the incidence of acute myocardial infarction in Galicia (Spain). Med Clin (Barc). 2015;145:97–101.
  28. Wichmann J, Rosengren A, Sjöberg K, Barregard L, Sallsten G. Association between ambient temperature and acute myocardial infarction hospitalisations in Gothenburg, Sweden:1985–2010. PLOS One. 2013;8:e62059.
  29. Mohammad MA, Koul S, Rylance R, Fröbert O, Alfredsson J, Sahlén A, et al. Association of weather with day-to-day incidence of myocardial infarction: A SWEDEHEART nationwide observational study. JAMA Cardiol. 2018;3:1081–89.
  30. Honda T, Fujimoto K, Miyao Y. Influence of weather conditions on the frequent onset of acute myocardial infarction. J Cardiol. 2016;67:42–50.
  31. Skea J, Shukla PR, Reisinger A, Slade R, Pathak M, Khourdajie A Al, et al. Summary for Policymakers. Climate Change 2022 - Mitigation of Climate Change. 2022;17;3–48.
  32. Akioka H, Yufu K, Teshima Y, Kawano K, Ishii Y, Abe I, et al. Seasonal variations of weather conditions on acute myocardial infarction onset: Oita AMI Registry. Heart Vessels. 2019;34:918.
  33. Vaičiulis V, Jaakkola JJ, Radišauskas R, Tamošiūnas A, Lukšienė D, Ryti NR. Association between winter cold spells and acute myocardial infarction in Lithuania 2000–2015. Scientific Reports. 2021;11. 1:17062.
  34. Phung D, Thai PK, Guo Y, Morawska L, Rutherford S, Chu C. Ambient temperature and risk of cardiovascular hospitalization: An updated systematic review and meta-analysis. Sci Total Environ. 2016;550:1084–1102.
  35. Tang S, Fu J, Liu Y, Zhao Y, Chen Y, Han Y, et al. Temperature fluctuation and acute myocardial infarction in Beijing: an extended analysis of temperature ranges and differences. Frontiers in Public Health. 2023;11:1287821.
  36. Cheng J, Su H, Xu Z, Tong S. Extreme temperature exposure and acute myocardial infarction: elevated risk within hours?. Environmental Research. 2021;202:111691.
  37. Rowland ST, Boehme AK, Rush J, Just AC, Kioumourtzoglou MA. Can ultra short-term changes in ambient temperature trigger myocardial infarction? Environ Int. 2020;143:105910.
  38. Chen H, & Zhang X. Influences of temperature and humidity on cardiovascular disease among adults 65 years and older in China. Frontiers in public health. 2023;10:1079722.
  39. Zeng J, Zhang X, Yang J, Bao J, Xiang H, Dear K, et al. Humidity may modify the relationship between temperature and cardiovascular mortality in Zhejiang Province, China. Int J Environ Res Public Health. 2017;14:1383.
  40. Farhadi Z, Abulghasem Gorgi H, Shabaninejad H, Aghajani Delavar M, Torani S. Association between PM2.5 and risk of hospitalization for myocardial infarction: A systematic review and a meta-analysis. BMC Public Health. 2020;20:314.
  41. Muszyński P, Pawluczuk E, Januszko T, Kruszyńska J, Duzinkiewicz M, Kurasz A, et al. Exploring the relationship between acute coronary syndrome, lower respiratory tract infections, and atmospheric pollution. J Clin Med. 2024;13:5037.
  42. Hong Y, Graham MM, Rosychuk RJ, Southern D, McMurtry MS. The effects of acute atmospheric pressure changes on the occurrence of ST-elevation myocardial infarction: A casecrossover study. Can J Cardiol. 2019;35:753–60.
  43. Vencloviene J, Babarskiene R, Dobozinskas P, Siurkaite V. Effects of weather conditions on emergency ambulance calls for acute coronary syndromes. Int J Biometeorol. 2015;59:108393.
  44. Maphugwi M, Blamey RC, Reason CJ. Rainfall characteristics over the Congo Air Boundary Region in southern Africa: A comparison of station and gridded rainfall products. Atmospheric Research. 2024;311:107718.
  45. Abrignani MG, Lombardo A, Braschi A, Renda N, Abrignani V. Climatic influences on cardiovascular diseases. World J Cardiol. 2022;14:152–69.
  46. Karakayalı M, Altunova M, Yakışan T, Aslan S, Artaç İ, Omar T, et al. Relationship between nonobstructive coronary arteries and metabolic parameters. Kafkas Journal of Medical Sciences,. 2024;14(2):138–43.
  47. Cha J, Choi SY, Rha SW, Choi BG, Byun JK, Hyun S, et al. Long-term air pollution exposure is associated with higher incidence of ST-elevation myocardial infarction and in-hospital cardiogenic shock. Scientific reports, 2024;14(1):4976

【全文结束】

AI内容声明：本页内容撰写过程部分涉及AI（包括且不限于题材，素材，提纲的搜集与整理），请注意甄别。

本文内容由家庭大健康团队所原创或整理，未经授权不得转载、摘编或利用其它方式使用。欢迎分享至朋友圈。
本文仅代表作者观点，不代表本站立场，如有侵权请联系我们删除。

猜你喜欢
相关文章