ArticleJournal of toxicology and environmental health. Part A2011
Fine particulate air pollution is associated with higher vulnerability to atrial fibrillation--the APACR study.
Article in Journal of toxicology and environmental health. Part A, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cardiovascular health, traffic-related air pollution and noise: are associations mutually confounded? A systematic review.International journal of public health · 2013Pooled it
- The Effects of Air Pollution on Atrial Fibrillation: A Systematic Review.Environmental health insights · 2026Review
- A Breath of Trouble: Unraveling the Impact of Air Pollution on Atrial Fibrillation.Journal of clinical medicine · 2024Review
- Environmental Exposome and Atrial Fibrillation: Emerging Evidence and Future Directions.Circulation research · 2024Review
- Oil and gas development exposure and atrial fibrillation exacerbation: a retrospective study of atrial fibrillation exacerbation using Colorado's all payer claims dataset.Frontiers in epidemiology · 2024Article
- The association between air pollution and the daily hospital visits for atrial fibrillation recorded by ECG: a cross-sectional study.European journal of medical research · 2023Article
- Short-term ambient air pollution exposure and risk of atrial fibrillation in patients with intracardiac devices.Environmental epidemiology (Philadelphia, Pa.) · 2022Article
- Air Pollution and Cardiac Arrhythmias: From Epidemiological and Clinical Evidences to Cellular Electrophysiological Mechanisms.Frontiers in cardiovascular medicine · 2021Review
- Peat smoke inhalation alters blood pressure, baroreflex sensitivity, and cardiac arrhythmia risk in rats.Journal of toxicology and environmental health. Part A · 2020Article
- Exposure to fine particulate matter induces self-recovery and susceptibility of oxidative stress and inflammation in rat lungs.Environmental science and pollution research international · 2020Article
- Air Pollution-Induced Autonomic Modulation.Physiology (Bethesda, Md.) · 2020Review
- Daily Exposure to Air Pollution Particulate Matter Is Associated with Atrial Fibrillation in High-Risk Patients.International journal of environmental research and public health · 2020Article
- Review
- Ambient Air Pollution and the Risk of Atrial Fibrillation and Stroke: A Population-Based Cohort Study.Environmental health perspectives · 2019Article
- Short-term effects of fine particulate matter and ozone on the cardiac conduction system in patients undergoing cardiac catheterization.Particle and fibre toxicology · 2018Article
- Association between Air Pollution and Emergency Room Visits for Atrial Fibrillation.International journal of environmental research and public health · 2017Article
- The short-term associations of weather and air pollution with emergency ambulance calls for paroxysmal atrial fibrillation.Environmental science and pollution research international · 2017Article
- Long-Term Exposure to Traffic-Related Air Pollution and Risk of Incident Atrial Fibrillation: A Cohort Study.Environmental health perspectives · 2017Article
- The Effects of Coarse Particles on Daily Mortality: A Case-Crossover Study in a Subtropical City, Taipei, Taiwan.International journal of environmental research and public health · 2016Article
- Developing new predictive alarms based on ECG metrics for bradyasystolic cardiac arrest.Physiological measurement · 2015Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
The acute effects and the time course of fine particulate pollution (PM₂.₅) on atrial fibrillation/flutter (AF) predictors, including P-wave duration, PR interval duration, and P-wave complexity, were investigated in a community-dwelling sample of 106 nonsmokers. Individual-level 24-h beat-to-beat electrocardiogram (ECG) data were visually examined. After identifying and removing artifacts and arrhythmic beats, the 30-min averages of the AF predictors were calculated. A personal PM₂.₅ monitor was used to measure individual-level, real-time PM₂.₅ exposures during the same 24-h period, and corresponding 30-min average PM₂.₅ concentration were calculated. Under a linear mixed-effects modeling framework, distributed lag models were used to estimate regression coefficients (βs) associating PM₂.₅ with AF predictors. Most of the adverse effects on AF predictors occurred within 1.5-2 h after PM₂.₅ exposure. The multivariable adjusted βs per 10-μg/m³ rise in PM₂.₅ at lag 1 and lag 2 were significantly associated with P-wave complexity. PM₂.₅ exposure was also significantly associated with prolonged PR duration at lag 3 and lag 4. Higher PM₂.₅ was found to be associated with increases in P-wave complexity and PR duration. Maximal effects were observed within 2 h. These findings suggest that PM₂.₅ adversely affects AF predictors; thus, PM₂.₅ may be indicative of greater susceptibility to AF.
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