Evidence map›Paper›PMID 41543751›Full record

ArticleInternational archives of occupational and environmental health2026

Long-term exposure to ambient air pollution and risk of incident acute myocardial infarction in a nationwide register-based cohort study.

Nikoline Leo Fleischer, Esben Meulengracht Flachs, Matthias Ketzel, Jørgen Brandt, Jibran Khan, Per Gustavsson, Ingrid Sivesind Mehlum, Morten Böttcher, Camilla Sandal Sejbaek, Jens Peter Bonde and 1 more

Abstract read
In one paragraph

Article in International archives of occupational and environmental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

11 authors.

Nikoline Leo FleischerDepartment of Occupational and Environmental Medicine, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark. Nikoline.leo.fleischer@regionh.dk.ORCID 0009-0005-4074-7648
Esben Meulengracht FlachsDepartment of Occupational and Environmental Medicine, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Matthias KetzelDepartment of Environmental Science, Aarhus University, Roskilde, Denmark.
Jørgen BrandtDepartment of Environmental Science, Aarhus University, Roskilde, Denmark.
Jibran KhanDepartment of Environmental Science, Aarhus University, Roskilde, Denmark.
Per GustavssonInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Ingrid Sivesind MehlumDepartment of Occupational and Environmental Medicine, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Morten BöttcherDepartment of Cardiology, University Clinic for Cardiovascular Research, Gødstrup Hospital, Herning, Denmark.
Camilla Sandal SejbaekDepartment of Occupational and Environmental Medicine, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Jens Peter BondeDepartment of Occupational and Environmental Medicine, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Regitze Sølling WilsDepartment of Occupational and Environmental Medicine, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate the association between long-term exposure to ambient air pollution at the residential address and the risk of acute myocardial infarction (AMI) in a younger working population.

methodsThe study population included all Danish residents aged 35–50 in 1995 with employment and no previous diagnosis of AMI. Information on AMI was obtained through national registries. We estimated the exposure to fine particulate matter (PM2.5), nitrogen dioxide (NO2), elemental carbon (EC) and primary organic aerosols (POA) from 1979 onwards based on the Danish integrated multi-scale air pollution modeling system. Poisson regression models were used to estimate incidence rate ratios (IRR) with 95% confidence intervals (CI) of AMI.

results903,415 individuals were included in this cohort, covering almost 20 million person-years of follow-up between 1996 and 2018. In total 35,511 developed AMI. Our main analyses showed a clear exposure-response relationship between cumulative exposure to each of the air pollutants and incident AMI. Exposure was categorized into quartiles (Q1–Q4), with Q1 as reference. The most pronounced association was observed for PM2.5 with IRRs of 1.08 [95% CI 1.04,1.13], 1.14 [95% CI 1.09,1.20] and 1.24 [95% CI 1.18,1.31] in Q2–Q4 in model 4 (fully adjusted). The associations were observed for both sexes and across age groups.

conclusionOur findings suggest that long-term exposure to PM2.5, NO2, EC, and POA are associated with an increased risk of incident AMI, also pertaining to the younger population (< 55 years).

Indexed as

Air PollutantsAir PollutionEnvironmental ExposureMyocardial InfarctionAdultAerosolsCarbonCohort StudiesDenmarkFemaleHumansIncidenceMaleMiddle AgedNitrogen DioxideParticulate MatterAerosolsAir PollutantsCarbonNitrogen DioxideParticulate MatterAcute myocardial infarctionAmbient air pollutionCohort studiesEpidemiology

Identifiers

PMID41543751
PMCPMC12811169

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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.