ArticleJournal of the American Heart Association2025
Temperature Exposure and Acute Cardiovascular Disease Risk in New York City: Case Time Series.
Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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Who cites it
3 citing papers in PubMed.
- Seasonal variation in outcomes of diabetic patients with acute myocardial infarction: A retrospective cohort study.American heart journal plus : cardiology research and practice · 2026Article
- Urban exposures, frailty, and mental illness in World Trade Center Health Program responders.Nature communications · 2026Article
- Urban Exposures, Frailty, and Mental Illness in World Trade Center Health Program Responders.medRxiv : the preprint server for health sciences · 2026Article
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Authors and funding
7 authors.
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Abstract
backgroundNumerous studies investigated the associations between myocardial infarction (MI), ischemic stroke, and temperature exposure, but the results vary widely, particularly in dense metropolitan areas.
methodsWe included all patients admitted to Mount Sinai hospitals with MI or ischemic stroke (2011-2019). We obtained daily mean, minimal, maximal, and diurnal temperature range (DTR) exposures from geospatial models. We used distributed lag nonlinear models in a case time series design to study the cumulative associations of each outcome with exposure to the different temperature metrics at lag days 0 to 6.
resultsWe included 8933 individuals. We found cumulative higher odds of ischemic stroke associated with higher mean (odds ratio [OR], 1.010 [95% CI, 1.004-1.016]); maximal (OR, 1.010 [95% CI, 1.004-1.015]) and minimal temperatures (OR, 1.011 [95% CI, 1.004-1.017]) on 0 to 6 days before the event. We observed a nonlinear association between DTR and MI. Comparing exposure at the 10th percentile of DTR (3.8 °C) to the median (8 °C), we observed an OR of 1.332 (95% CI, 1.164-1.528), with similar effect estimates across lags. The OR of MI among those exposed to 12 °C (the 90th percentile of DTR) compared with the median was 1.041 (95% CI, 0.932-1.163).
conclusionsWe found higher odds of ischemic stroke associated with increased temperature exposures, highlighting the potential stroke risks in a warming climate. Additionally, we found higher odds of MI associated with lower DTR, a pattern more common on colder days. This suggests DTR may capture cardiac effects not observed using traditional exposure metrics.
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