Evidence map›Paper›PMID 23838152›Full record

ArticleEnvironmental health perspectives2013

Particulate air pollution, ambulatory heart rate variability, and cardiac arrhythmia in retirement community residents with coronary artery disease.

Scott M Bartell, John Longhurst, Thomas Tjoa, Constantinos Sioutas, Ralph J Delfino

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Source-Specific PMToxics · 2025
    Article
  4. Article
  5. Effects of Air Pollution on the Health of Older Adults during Physical Activities: Mapping Review.International journal of environmental research and public health · 2023
    Review
  6. Article
  7. Article
  8. Review
  9. Racial Difference in the Association of Long-Term Exposure to Fine Particulate Matter (PMInternational journal of environmental research and public health · 2021
    Article
  10. Air Pollution-Induced Autonomic Modulation.Physiology (Bethesda, Md.) · 2020
    Review
  11. Article
  12. Short-Term Impact of Traffic-Related Particulate Matter and Noise Exposure on Cardiac Function.International journal of environmental research and public health · 2020
    Article
  13. Review
  14. Review
  15. Effects of Cardiorespiratory Exercise on Cognition in Older Women Exposed to Air Pollution.International journal of environmental research and public health · 2019
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

5 authors at 2 institutions in 1 country.

Scott M BartellProgram in Public Health, University of California, Irvine, Irvine, California, USA.
John Longhurst
Thomas Tjoa
Constantinos Sioutas
Ralph J Delfino
University of California, Irvine · USUniversity of Southern California · US

Funding

ZOVIRAX CREAM TO TREAT HERPES LABIALIS IN ADOLESCENTSM01RR000827 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ZELL, JASON · 1985 to 2010
$74.3M
Ultrafine Particulate Matter &Cardiorespiratory HealthR01ES012243 · NIEHS · UNIVERSITY OF CALIFORNIA-IRVINE · PI DELFINO, RALPH J · 2003 to 2015
$6.0M
NCRR NIH HHS M01 RR000827NCRR NIH HHS M01 RR00827NIEHS NIH HHS ES-012243NIEHS NIH HHS R01 ES012243
6 · The paper itself

Abstract

backgroundDecreased heart rate variability (HRV) has been associated with future cardiac morbidity and mortality and is often used as a marker of altered cardiac autonomic balance in studies of health effects of airborne particulate matter. Fewer studies have evaluated associations between air pollutants and cardiac arrhythmia.

objectivesWe examined relationships between cardiac arrhythmias, HRV, and exposures to airborne particulate matter.

methodsWe measured HRV and arrhythmia with ambulatory electrocardiograms in a cohort panel study for up to 235 hr per participant among 50 nonsmokers with coronary artery disease who were ≥ 71 years of age and living in four retirement communities in the Los Angeles, California, Air Basin. Exposures included hourly outdoor gases, hourly traffic-related and secondary organic aerosol markers, and daily size-fractionated particle mass. We used repeated measures analyses, adjusting for actigraph-derived physical activity and heart rate, temperature, day of week, season, and community location.

resultsVentricular tachycardia was significantly increased in association with increases in markers of traffic-related particles, secondary organic carbon, and ozone. Few consistent associations were observed for supraventricular tachycardia. Particulates were significantly associated with decreased ambulatory HRV only in the 20 participants using ACE (angiotensin I-converting enzyme) inhibitors.

conclusionsAlthough these data support the hypothesis that particulate exposures may increase the risk of ventricular tachycardia for elderly people with coronary artery disease, HRV was not associated with exposure in most of our participants. These results are consistent with previous findings in this cohort for systemic inflammation, blood pressure, and ST segment depression.

Indexed as

AgedAged, 80 and overArrhythmias, CardiacBlood PressureCoronary Artery DiseaseFemaleHeart RateHumansMaleParticulate MatterTachycardia, VentricularParticulate Matter

Identifiers

PMID23838152
PMCPMC3801451
OpenAlexW2089164331

What OpenQuestion holds

Textmetadata
LicenceCC0
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.