The impact of chronic exposure to air pollution on electrocardiographic parameters

• Authors: Elżbieta Kramarz , Ryszard Piotrowicz , Adam Stańczyk

Abstracts

EN

ObjectivesChronic exposure to air pollution caused by particulate matter (PM) with aerodynamic diameters of <10 μm (PM₁₀) and <2.5 μm (PM_2.5), dependent on “low emissions” resulting from the combustion of solid fuels in households, significantly increases the risk of cardiovascular events. The aim of the study was to assess the impact of chronic exposure to air pollution in the place of residence on the occurrence of coronary artery disease, hypertension and the presence of electrocardiographic abnormalities in 24-hour Holter ECG recording.Material and MethodsAfter considering the exclusion criteria, 100 consecutive patients of the cardiology outpatient clinic were enrolled in the study, including 50 patients living for ≥10 years in Warsaw districts with the lowest average concentrations of PM_2.5 (group I) and 50 living in the districts with the highest recorded exposure (group II). All patients underwent clinical and physical examination, 12-lead ECG, 2D cardiac echo, and Holter ECG. To avoid the impact of acute exposure, the study was carried out in May – the month with statistically the lowest recorded PM_2.5 concentrations.ResultsIn the group of patients exposed to higher concentrations of PM_2.5 in the place of residence, coronary artery disease and arterial hypertension were significantly more frequent, while in the Holter ECG examination, ventricular arrhythmias, conduction disturbances and ST-segment and T-wave changes were independently associated with exposure to air pollution.ConclusionsChronic exposure to air pollution in the place of residence contributes to the occurrence of chronic coronary syndrome and hypertension. Chronic exposure to air pollution seems to be a significant factor increasing the incidence of ventricular arrhythmia, conduction disturbances and ST-segment depression episodes in Holter monitoring.

Keywords

EN

air pollution; ECG; coronary disease; ventricular premature complexes; premature supraventricular beats; Holter ECG

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2022
• Volume: 35
• Issue: 3
• Pages: 353-360

Dates

published

2022

Contributors

author

Elżbieta Kramarz

• Military Institute of Medicine, Warsaw, Poland (Department of Cardiology and Internal Diseases)

author

Ryszard Piotrowicz

• Institute of Cardiology, Warsaw, Poland (Department of Coronary Artery Disease and Cardiac Rehabilitation)

author

Adam Stańczyk

• Medical University of Lodz, Łódź, Poland (Department of Clinical Pharmacology)

Identifiers

DOI

10.13075/ijomeh.1896.01682

Biblioteka Nauki

2084886