ArticleEpidemiology (Cambridge, Mass.)2015
Drier air, lower temperatures, and triggering of paroxysmal atrial fibrillation.
Article in Epidemiology (Cambridge, Mass.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Thermal indices for assessing the impact of outdoor thermal environments on human health: a systematic review of epidemiological studies.International journal of biometeorology · 2025Pooled it
- Association between climatic variables and cardiovascular hospitalizations in Brazil: An ecological study.PLOS global public health · 2026Article
- Extreme Heat and Arrhythmia in Patients With Implanted Devices.Journal of the American Heart Association · 2025Article
- Environmental Exposome and Atrial Fibrillation: Emerging Evidence and Future Directions.Circulation research · 2024Review
- Rapid weather changes are associated with daily hospital visitors for atrial fibrillation accompanied by abnormal ECG repolarization: a case-crossover study.European journal of medical research · 2024Article
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- 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
- Temperature variability increases the onset risk of ischemic stroke: A 10-year study in Tianjin, China.Frontiers in neurology · 2023Article
- A nationwide analysis of the outcomes in hospitalized patients with atrial fibrillation and temperature-related illnesses.Clinics (Sao Paulo, Brazil) · 2023Article
- Association of ambient temperature and acute heart failure with preserved and reduced ejection fraction.ESC heart failure · 2022Article
- Analysis of the association between atrial fibrillation with in-hospital mortality in people admitted for community-acquired pneumonia through an observational, nation-wide, sex-stratified study.Scientific reports · 2022Observational
- Seasonal Variation of Atrial Fibrillation Admission and Quality of Care in the United States.Journal of the American Heart Association · 2022Article
- Epidemiology of Atrial Fibrillation and Related Myocardial Ischemia or Arrhythmia Events in Chinese Community Population in 2019.Frontiers in cardiovascular medicine · 2022Article
- Dependence of odontogenic abscess on meteorological parameters: truth or myth?Clinical oral investigations · 2020Article
- Seasonal variations in cardiovascular disease.Nature reviews. Cardiology · 2017Review
- Fine-scale spatial and temporal variation in temperature and arrhythmia episodes in the VA Normative Aging Study.Journal of the Air & Waste Management Association (1995) · 2017Article
- Hospitalizations from Hypertensive Diseases, Diabetes, and Arrhythmia in Relation to Low and High Temperatures: Population-Based Study.Scientific reports · 2016Article
- Winter Season Mortality: Will Climate Warming Bring Benefits?Environmental research letters : ERL [Web site] · 2015Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundThe few previous studies on the onset of paroxysmal atrial fibrillation and meteorologic conditions have focused on outdoor temperature and hospital admissions, but hospital admissions are a crude indicator of atrial fibrillation incidence, and studies have found other weather measures in addition to temperature to be associated with cardiovascular outcomes.
methodsTwo hundred patients with dual chamber implantable cardioverter-defibrillators were enrolled and followed prospectively from 2006 to 2010 for new onset episodes of atrial fibrillation. The date and time of arrhythmia episodes documented by the implanted cardioverter-defibrillators were linked to meteorologic data and examined using a case-crossover analysis. We evaluated associations with outdoor temperature, apparent temperature, air pressure, and three measures of humidity (relative humidity, dew point, and absolute humidity).
resultsOf the 200 enrolled patients, 49 patients experienced 328 atrial fibrillation episodes lasting ≥30 seconds. Lower temperatures in the prior 48 hours were positively associated with atrial fibrillation. Lower absolute humidity (ie, drier air) had the strongest and most consistent association: each 0.5 g/m decrease in the prior 24 hours increased the odds of atrial fibrillation by 4% (95% confidence interval [CI]: 0%, 7%) and by 5% (95% CI: 2%, 8%) for exposure in the prior 2 hours. Results were similar for dew point but slightly weaker.
conclusionsRecent exposure to drier air and lower temperatures were associated with the onset of atrial fibrillation among patients with known cardiac disease, supporting the hypothesis that meteorologic conditions trigger acute cardiovascular episodes.
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