Daily Exposure to Air Pollution Particulate Matter Is Associated with Atrial Fibrillation in High-Risk Patients

Elisa Gallo, Franco Folino, Gianfranco Buja, Gabriele Zanotto, Daniele Bottigliengo, Rosanna Comoretto, Elena Marras, Giuseppe Allocca, Diego Vaccari, Gianni Gasparini, Emanuele Bertaglia, Franco Zoppo, Vittorio Calzolari, Rene Nangah Suh, Barbara Ignatiuk, Corrado Lanera, Alessandro Benassi, Dario Gregori and Sabino Iliceto
Additional contact information
Elisa Gallo: Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy
Franco Folino: Division of Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35128 Padua, Italy
Gianfranco Buja: Division of Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35128 Padua, Italy
Gabriele Zanotto: Department of Cardiology, Mater Salutis Hospital, 37045 Legnago, Italy
Daniele Bottigliengo: Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy
Rosanna Comoretto: Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy
Elena Marras: Department of Cardiology, S Maria dei Battuti Hospital, 31015 Conegliano, Italy
Giuseppe Allocca: Department of Cardiology, S Maria dei Battuti Hospital, 31015 Conegliano, Italy
Diego Vaccari: Department of Cardiology, Civic Hospital, 31044 Montebelluna, Italy
Gianni Gasparini: Department of Cardiology, Dell’Angelo Hospital, 30174 Mestre, Italy
Emanuele Bertaglia: Division of Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35128 Padua, Italy
Franco Zoppo: Department of Cardiology, Civic Hospital, 30035 Mirano, Italy
Vittorio Calzolari: Department of Cardiology, Ca’ Foncello Hospital, 31100 Treviso, Italy
Rene Nangah Suh: Department of Cardiology, Civic Hospital, 30026 Portogruaro, Italy
Barbara Ignatiuk: Department of Cardiology, Civic Hospital, 35043 Monselice, Italy
Corrado Lanera: Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy
Alessandro Benassi: Regional Agency for Environmental Prevention and Protection of the Veneto Region, 35121 Padua, Italy
Dario Gregori: Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35131 Padua, Italy
Sabino Iliceto: Division of Cardiology, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35128 Padua, Italy

IJERPH, 2020, vol. 17, issue 17, 1-10

Abstract: Several epidemiological studies found an association between acute exposure to fine particulate matter of less than 2.5 μm and 10 μm in aerodynamic diameter (PM 2.5 and PM 10 ) and cardiovascular diseases, ventricular fibrillation incidence and mortality. The effects of pollution on atrial fibrillation (AF) beyond the first several hours of exposure remain controversial. A total of 145 patients with implantable cardioverter-defibrillators (ICDs), cardiac resynchronization therapy defibrillators (ICD-CRT), or pacemakers were enrolled in this multicentric prospective study. Daily levels of PM 2.5 and PM 10 were collected from monitoring stations within 20 km of the patient’s residence. A Firth Logistic Regression model was used to evaluate the association between AF and daily exposure to PM 2.5 and PM 10 . Exposure levels to PM 2.5 and PM 10 were moderate, being above the World Health Organization (WHO) PM 2.5 and PM 10 thresholds of 25 μg/m 3 and 50 μg/m 3 , respectively, on 26% and 18% of the follow-up days. An association was found between daily levels of PM 2.5 and PM 10 and AF (95% confidence intervals (CIs) of 1.34–2.40 and 1.44–4.28, respectively) for an increase of 50 µg/m 3 above the WHO threshold. Daily exposure to moderate PM 2.5 and PM 10 levels is associated with AF in patients who are not prone to AF.

Keywords: atrial fibrillation; air pollution; cardiovascular risk (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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