ArticleEuropean heart journal2024
Nocturnal heat exposure and stroke risk.
Article in European heart journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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The trial behind it
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Who cites it
29 citing papers in PubMed.
- Article
- The Impact of Ambient Temperature on the Cardiovascular and Cerebrovascular Disease Incidence during 2009-2023 in Zhanjiang, Guangdong, China.Journal of atherosclerosis and thrombosis · 2026Article
- Non optimal temperatures and chronic cardiovascular diseases.Seminars in immunopathology · 2026Review
- Multi-Center Analysis of the Association Between Meteorological Factors and Aneurysmal Subarachnoid Hemorrhage Using Logistic and Machine Learning Models in Upstate New York.Journal of clinical medicine · 2026Article
- The Effect of Nighttime Heatwave on Poststroke Disability in Subtropical Cities of China.Environment & health (Washington, D.C.) · 2026Article
- Street view-based exposure to greenspace and mortality: the Multi-Ethnic Study of Atherosclerosis.Environment international · 2026Article
- Urban-rural disparities in heatwave effects on under-5 mortality in China, 2009-2019: a nationwide case-crossover study.The Lancet regional health. Western Pacific · 2026Article
- The impact of environmental pollution and climate change on hypertension: a position paper by the European Society of Hypertension (ESH) Working Group on Environment in Hypertension.Cardiovascular research · 2026Review
- Bidirectional effect modification between diurnal temperature range and particulate matter on acute myocardial infarction risk.iScience · 2026Article
- Prevention in stroke - Current state, present gaps and probable next steps.Neurological research and practice · 2026Review
- Prenatal exposure to extreme heat and autism in children.The Science of the total environment · 2026Article
- Association Between Living Environmental Factors and Stroke in Middle-Aged and Older Chinese Adults: A Nationwide Prospective Cohort Study.Journal of the American Heart Association · 2026Article
- Nighttime temperature and sleep duration in the Chinese population.BMC public health · 2026Article
- Extreme temperature and humidity exposure elevates acute intracerebral hemorrhage risk.iScience · 2026Article
- Low ambient temperature and sudden temperature drop increases the incidence of acute aortic dissection: a retrospective analysis from the northeast region of China.Frontiers in public health · 2026Article
- Forecasting tool of hospital demand during heat periods: a time-series regression study in Bern, Switzerland.BMJ public health · 2026Article
- Stakeholder perspectives and requirements for environmental-data-driven capacity forecasting in stroke care: a national survey of German stroke units.Frontiers in neurology · 2026Article
- Extreme temperatures, recent warming and seasonal influenza-linking human exposures to respiratory health in southern Germany.International archives of occupational and environmental health · 2025Article
- Escalated heatwave mortality risk in sub-Saharan Africa under recent warming trend.Science advances · 2025Article
- Improvements in life expectancy mask rising trends in heat-related excess mortality attributable to climate change.Nature communications · 2025Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
BACKGROUND AND
aimsIn recent decades, nighttime temperatures have increased faster than daytime temperatures. The increasing prevalence of nocturnal heat exposure may pose a significant risk to cardiovascular health. This study investigated the association between nighttime heat exposure and stroke risk in the region of Augsburg, Germany, and examined its temporal variations over 15 years.
methodsHourly meteorological parameters, including mean temperature, relative humidity, and barometric pressure, were acquired from a local meteorological station. A data set was obtained consisting of 11 037 clinical stroke cases diagnosed during warmer months (May to October) between the years 2006 and 2020. The average age of cases was 71.3 years. Among these cases, 642 were identified as haemorrhagic strokes, 7430 were classified as ischaemic strokes, and 2947 were transient ischaemic attacks. A time-stratified case-crossover analysis with a distributed lag non-linear model was used to estimate the stroke risk associated with extreme nighttime heat, as measured by the hot night excess (HNE) index after controlling for the potential confounding effects of daily maximum temperature and other climatic variables. Subgroup analyses by age group, sex, stroke subtype, and stroke severity were performed to identify variations in susceptibility to nighttime heat.
resultsResults suggested a significant increase in stroke risk on days with extreme nighttime heat (97.5% percentile of HNE) (odds ratio 1.07, 95% confidence interval 1.01-1.15) during the full study period. When comparing the results for 2013-20 with the results for 2006-12, there was a significant increase (P < .05) in HNE-related risk for all strokes and specifically for ischaemic strokes during the more recent period. Furthermore, older individuals, females, and patients with mild stroke symptoms exhibited a significantly increased vulnerability to nighttime heat.
conclusionsThis study found nocturnal heat exposure to be related to elevated stroke risk after controlling for maximum daytime temperature, with increasing susceptibility between 2006 and 2020. These results underscore the importance of considering nocturnal heat as a critical trigger of stroke events in a warming climate.
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