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Fine particulate air pollution and premature atrial contractions: The REasons for Geographic And Racial Differences in Stroke study
Journal article   Open access   Peer reviewed

Fine particulate air pollution and premature atrial contractions: The REasons for Geographic And Racial Differences in Stroke study

Wesley T. O'Neal, Elsayed Z. Soliman, Jimmy T. Efird, Suzanne E. Judd, Virginia J. Howard, George Howard and Leslie A. McClure
Journal of exposure science & environmental epidemiology, v 27(3), pp 271-275
01 May 2017
PMID: 27649843
url
https://europepmc.org/articles/pmc5457811View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Environmental Sciences Environmental Sciences & Ecology Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology Toxicology
Several reports have suggested that particulate matter (PM) exposure increases the risk for atrial arrhythmias. However, data from large-scale epidemiologic studies supporting this hypothesis are lacking. We examined the association of PM <2.5 mu m in diameter (PM2.5) concentration with premature atrial contractions (PACs) in 26,609 (mean age=65 +/- 9.4 years; 55% female; 41% black) participants from the REGARDS (REasons for Geographic And Racial Differences in Stroke) study. Estimates of short-(2 weeks) and long-term (1 year) PM2.5 exposure were computed before each participant's baseline visit using geographic information system data on the individual level at the coordinates of study participants' residences. PACs were identified from baseline electrocardiograms. A total of 2140 (8.2%) participants had evidence of PACs on the baseline electrocardiogram. Short-term PM2.5 (per 10 mu g/m(3)) exposure was not associated with PACs (OR = 1.09, 95% CI = 0.98, 1.23). Increases in long-term PM2.5 (per 10 mu g/m(3)) were associated with PACs (OR = 1.40, 95% CI = 1.10, 1.78). Interactions were not detected for short- and long-term PM2.5 exposure by age, sex, or race. Long-but not short- term PM2.5 exposure is associated with PACs. This suggests a role for long-term PM2.5 exposure in initiating supraventricular arrhythmias that are triggered by PACs.

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Collaboration types
Domestic collaboration
Web of Science research areas
Environmental Sciences
Public, Environmental & Occupational Health
Toxicology
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