Evidence map›Paper›PMID 21059260›Full record

ArticleEnvironmental health : a global access science source2010

Acute effects of fine particulate air pollution on ST segment height: a longitudinal study.

Fan He, Michele L Shaffer, Sol Rodriguez-Colon, Edward O Bixler, Alexandros N Vgontzas, Ronald W Williams, Rongling Wu, Wayne E Cascio, Duanping Liao

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Fan HeDepartment of Public Health Sciences, Penn State University College of Medicine, A210, 600 Centerview Dr, Suite 2200, Hershey, PA 17033, USA.
Michele L Shaffer
Sol Rodriguez-Colon
Edward O Bixler
Alexandros N Vgontzas
Ronald W Williams
Rongling Wu
Wayne E Cascio
Duanping Liao
Pennsylvania State University · USEast Carolina University · USResearch Triangle Park Foundation · US

Funding

Air Pollution and Cardiac Risk: Mechanisms & Time-courseR01ES014010 · NIEHS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI LIAO, DUANPING · 2007 to 2010
$1.1M
NIEHS NIH HHS 1 R01 ES014010
6 · The paper itself

Abstract

backgroundThe mechanisms for the relationship between particulate air pollution and cardiac disease are not fully understood. Air pollution-induced myocardial ischemia is one of the potentially important mechanisms.

methodsWe investigate the acute effects and the time course of fine particulate pollution (PM2.5) on myocardium ischemic injury as assessed by ST-segment height in a community-based sample of 106 healthy non-smokers. Twenty-four hour beat-to-beat electrocardiogram (ECG) data were obtained using a high resolution 12-lead Holter ECG system. After visually identifying and removing all the artifacts and arrhythmic beats, we calculated beat-to-beat ST-height from ten leads (inferior leads II, III, and aVF; anterior leads V3 and V4; septal leads V1 and V2; lateral leads I, V5, and V6,). Individual-level 24-hour real-time PM2.5 concentration was obtained by a continuous personal PM2.5 monitor. We then calculated, on a 30-minute basis, the corresponding time-of-the-day specific average exposure to PM2.5 for each participant. Distributed lag models under a linear mixed-effects models framework were used to assess the regression coefficients between 30-minute PM2.5 and ST-height measures from each lead; i.e., one lag indicates a 30-minute separation between the exposure and outcome.

resultsThe mean (SD) age was 56 (7.6) years, with 41% male and 74% white. The mean (SD) PM2.5 exposure was 14 (22) μg/m3. All inferior leads (II, III, and aVF) and two out of three lateral leads (I and V6), showed a significant association between higher PM2.5 levels and higher ST-height. Most of the adverse effects occurred within two hours after PM2.5 exposure. The multivariable adjusted regression coefficients β (95% CI) of the cumulative effect due to a 10 μg/m3 increase in Lag 0-4 PM2.5 on ST-I, II, III, aVF and ST-V6 were 0.29 (0.01-0.56) μV, 0.79 (0.20-1.39) μV, 0.52 (0.01-1.05) μV, 0.65 (0.11-1.19) μV, and 0.58 (0.07-1.09) μV, respectively, with all p < 0.05.

conclusionsIncreased PM2.5 concentration is associated with immediate increase in ST-segment height in inferior and lateral leads, generally within two hours. Such an acute effect of PM2.5 may contribute to increased potential for regional myocardial ischemic injury among healthy individuals.

Indexed as

ElectrocardiographyEnvironmental ExposureFemaleHumansLongitudinal StudiesMaleMiddle AgedMonitoring, AmbulatoryMyocardial IschemiaParticulate MatterPennsylvaniaRegression AnalysisParticulate Matter

Identifiers

PMID21059260
PMCPMC2989950
OpenAlexW2139680613

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.