ArticleEuropean heart journal2013
Long-term exposure to air pollution is associated with survival following acute coronary syndrome.
Article in European heart journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 5 of them syntheses that pooled it.
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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
48 citing papers in PubMed, 5 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- Long-term exposure to nitrogen dioxide and mortality: A systematic review and meta-analysis.The Science of the total environment · 2021Pooled it
- Systematic review and meta-analysis of cohort studies of long term outdoor nitrogen dioxide exposure and mortality.PloS one · 2021Pooled it
- Long-term exposure to NOEnvironment international · 2020Pooled it
- Characteristics of cohort studies of long-term exposure to PMEnvironmental science and pollution research international · 2019Pooled it
- Long-term Concentrations of Nitrogen Dioxide and Mortality: A Meta-analysis of Cohort Studies.Epidemiology (Cambridge, Mass.) · 2018Pooled it
- Differential Association Between Surrounding Greenness and Mortality in Individuals With Coronary Heart Disease.JACC. Advances · 2026Article
- Independent and combined effects of long-term air pollution exposure and genetic predisposition on COVID-19 severity: A population-based cohort study.Proceedings of the National Academy of Sciences of the United States of America · 2025Article
- Air pollution and coronary atherosclerosis.Future cardiology · 2025Review
- Impact of air pollution and noise exposure on cardiovascular disease incidence and mortality: A systematic review.Heliyon · 2024Review
- Exposure to Air Pollutants and Myocardial Infarction Incidence: A UK Biobank Study Exploring Gene-Environment Interaction.Environmental health perspectives · 2024Article
- Long-term exposure to air pollution, greenness and temperature and survival after a nonfatal myocardial infarction.Environmental pollution (Barking, Essex : 1987) · 2024Article
- Precision Medicine in Acute Coronary Syndromes.Journal of clinical medicine · 2024Review
- Exposure to Air Pollution, Genetic Susceptibility, and Psoriasis Risk in the UK.JAMA network open · 2024Article
- Long-term air pollution exposure is associated with higher incidence of ST-elevation myocardial infarction and in-hospital cardiogenic shock.Scientific reports · 2024Article
- Article
- Particulate Matter Air Pollution and Long-Term Outcomes in Patients Undergoing Percutaneous Coronary Intervention.JACC. Advances · 2023Article
- Multi-City Analysis of the Acute Effect of Polish Smog on Cause-Specific Mortality (EP-PARTICLES Study).International journal of environmental research and public health · 2023Article
- Cigarette smoking and air pollution exposure and their effects on cardiovascular diseases.Frontiers in public health · 2023Review
- Environmental risk factors and cardiovascular diseases: a comprehensive expert review.Cardiovascular research · 2022Article
- The Impact of Fine Particulate Matter 2.5 on the Cardiovascular System: A Review of the Invisible Killer.Nanomaterials (Basel, Switzerland) · 2022Review
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aim of this study was to determine (i) whether long-term exposure to air pollution was associated with all-cause mortality using the Myocardial Ischaemia National Audit Project (MINAP) data for England and Wales, and (ii) the extent to which exposure to air pollution contributed to socioeconomic inequalities in prognosis. METHODS AND
resultsRecords of patients admitted to hospital with acute coronary syndrome (ACS) in MINAP collected under the National Institute for Cardiovascular Outcomes Research were linked to modelled annual average air pollution concentrations for 2004-10. Hazard ratios for mortality starting 28 days after admission were estimated using Cox proportional hazards models. Among the 154 204 patients included in the cohort, the average follow-up was 3.7 years and there were 39 863 deaths. Mortality rates were higher for individuals exposed to higher levels of particles with a diameter of ≤2.5 µm (PM2.5; PM, particulate matter): the fully adjusted hazard ratio for a 10 µg/m(3) increase in PM2.5 was 1.20 (95% CI 1.04-1.38). No associations were observed for larger particles or oxides of nitrogen. Air pollution explained socioeconomic inequalities in survival to only a small extent.
conclusionMortality from all causes was higher among individuals with greater exposure to PM2.5 in survivors of hospital admission for ACS in England and Wales. Despite higher exposure to PM2.5 among those from more deprived areas, such exposure was a minor contribution to the socioeconomic inequalities in prognosis following ACS. Our findings add to the evidence of mortality associated with long-term exposure to fine particles.
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