Abstract
Background Long-term exposure to air pollution results in a high incidence of cardiovascular disease. Whether acute myocardial infarction is triggered by short-term exposure to air pollution is related to the average severity of air pollution in the area.DesignCase-crossover analysis.MethodsThis was a retrospective study based on hospital medical records. The study period was 2017-2018. Research data were collected from Taoyuan Hospital, which is located in a low-severity pollution area, and Taichung Hospital, which is in a high-severity pollution area, and the correlation between short-term air pollution exposure and acute myocardial infarction was analyzed.ResultsThe correlation between short-term exposure to ambient air pollutants and acute myocardial infarction was not significant for the cases collected from Taoyuan Hospital (PM2.5 OR: 1.006 & 95% CI: 0.995-1.017; PM10 OR: 0.996 & 95% CI: 0.988-1.003). However, for the cases collected from Taichung Hospital, short-term exposure to ambient PM2.5 (odds ratio: 1.021; 95% confidence interval: 1.002-1.040) and PM10 (odds ratio: 1.010; 95% confidence interval: 1.001-1.020) resulted in high incidence of acute myocardial infarction.ConclusionsShort-term pollutant exposure will increase the incidence of acute myocardial infarction based on the severity of regional air pollution. In addition to addressing traditional cardiovascular disease risk factors, the government must formulate relevant policies for reducing air pollution and thus the hazards to national health.
Regional air pollution severity affects the incidence of acute myocardial infarction triggered by short-term pollutant exposure: a time-stratified case-crossover analysis
