ArticleEnvironmental health perspectives2023
Cold Spells and the Onset of Acute Myocardial Infarction: A Nationwide Case-Crossover Study in 323 Chinese Cities.
Article in Environmental health perspectives, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 33 citations in OpenAlex.
- Ambient cold exposure and myocardial infarction risk in Tianjin, China: a distributed lag non-linear analysis.BMC public health · 2026Article
- Nighttime Cold Stress and Cardiovascular Emergency Hospitalizations: A Time-Series Analysis by Sex and Age in a Subtropical City.Journal of the American Heart Association · 2026Article
- Joint effects of PMScientific reports · 2026Article
- Cold Waves and Elevation Strengthen the Association of Particulate Matter Exposure With Hypertension Prevalence: A Large Multiregional Study in China.Journal of the American Heart Association · 2026Article
- Impact of autumn-winter wind speed and low temperatures on acute coronary syndrome: a 5-year single-center study in Beijing.Scientific reports · 2026Article
- Spatiotemporal patterns of excess mortality attributable to prolonged cold spells in China, 2020-2023.BMC public health · 2026Article
- Machine learning prediction of acute myocardial infarction incidence using regional meteorological data.Frontiers in cardiovascular medicine · 2026Article
- Heatwave Exposure Accelerates Biological Aging via Metabolic Dysregulation.Cyborg and bionic systems (Washington, D.C.) · 2026Article
- Short-term exposure to ambient air pollution and onset of severe mental disorders: a case-crossover study in Northwestern China.BMC public health · 2025Article
- Extreme Ambient Air Pressure and Its Drop Between Neighboring Days Are Associated With an Increased Risk of Acute Myocardial Infarction Onset: A Case-Crossover Study.Journal of the American Heart Association · 2025Article
- Machine learning prediction of STEMI incidence with SHAP interpretation of environmental determinants.Scientific reports · 2025Article
- Opposite Interactive Effects of Heat Wave and Cold Spell with Fine Particulate Matter on Pneumonia Mortality.Toxics · 2025Article
- Health impacts of a cold wave and its economic loss assessment in China's high-altitude city, Xining.Archives of public health = Archives belges de sante publique · 2024Article
- Statement on Establishment of Public Health Protection Guideline for Cold Spells - China.China CDC weekly · 2024Article
- Effects of the interaction between cold spells and fine particulate matter on mortality risk in Xining: a case-crossover study at high altitude.Frontiers in public health · 2024Article
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Authors and funding
13 authors at 10 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew studies have explored the relationships between cold spells and acute myocardial infarction (AMI) using the information of symptom onset.
objectivesWe assessed the impact of cold spells on AMI onset and the potential effect modifiers.
methodsWe conducted a time-stratified case-crossover study among 456,051 eligible patients with AMI from 2,054 hospitals in 323 Chinese cities between January 2015 and June 2021 during cold seasons (November to March). Nine definitions of cold spells were used by combining three relative temperature thresholds (i.e., lower than the 7.5th, 5th, and 2.5th percentiles) and three durations of at least 2-4 consecutive d. Conditional logistic regressions with distributed lag models were applied to evaluate the cumulated effects of cold spells on AMI onset over lags 0-6 d, after adjusting for daily mean temperature.
resultsThe associations generally appeared on lag 1 d, peaked on lag 3 d, and became nonsignificant approximately on lag 5 d. Cold spells defined by more stringent thresholds of temperature were associated with higher risks of AMI onset. For cold spell days defined by a daily mean temperature of DISCUSSION: This national case-crossover study presents compelling evidence that cold spells could significantly increase the risk of AMI onset. https://doi.org/10.1289/EHP11841.
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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.