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首页> 外文期刊>International Journal of Environmental Research and Public Health >Short-Term Exposure to Air Pollution and Cardiac Arrhythmia: A Meta-Analysis and Systematic Review
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Short-Term Exposure to Air Pollution and Cardiac Arrhythmia: A Meta-Analysis and Systematic Review

机译:短期暴露于空气污染和心律不齐:荟萃分析和系统评价

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The objective was to assess the transient association between air pollution and cardiac arrhythmia. Five databases were searched for studies investigating the association between daily increases in air pollutants (PM 2.5 , PM 10 , carbon monoxide, nitrogen dioxide, sulfur dioxide and ozone) and arrhythmia hospitalization or arrhythmia mortality. Two reviewers independently selected studies, extracted data, and assessed risk of bias. Outcomes were analyzed via a random-effects model and reported as relative risk and 95% confidence interval. 25 studies satisfied our inclusion criteria and 23 contributed to the meta-analysis. Arrhythmia hospitalization or mortality were associated with increases in PM 2.5 (RR = 1.015 per 10 μg/m 3 , 95% CI: 1.006–1.024), PM 10 (RR = 1.009 per 10 μg/m 3 , 95% CI: 1.004–1.014), carbon monoxide (RR = 1.041 per 1 ppm, 95% CI: 1.017–1.065), nitrogen dioxide (RR = 1.036 per 10 ppb, 95% CI: 1.020–1.053), and sulfur dioxide (RR = 1.021 per 10 ppb, 95% CI: 1.003–1.039), but not ozone (RR = 1.012 per 10 ppb, 95% CI: 0.997–1.027). Both particulate and gaseous components, with the exception of ozone, have a temporal association with arrhythmia hospitalization or mortality. Compared with Europe and North America, a stronger association was noted in Asia.
机译:目的是评估空气污染与心律不齐之间的短暂关联。搜索了五个数据库,以研究空气污染物(PM 2.5,PM 10,一氧化碳,二氧化氮,二氧化硫和臭氧)的每日增加与心律不齐住院或心律失常死亡率之间的关系。两名审稿人独立选择研究,提取数据并评估偏倚风险。通过随机效应模型分析结果,并报告为相对风险和95%置信区间。 25项研究符合我们的纳入标准,23项对荟萃分析有所帮助。心律失常的住院或死亡率与PM 2.5(RR = 1.015每10μg/ m 3,95%CI:1.006–1.024),PM 10(RR = 1.009每10μg/ m 3,95%CI:1.004– 1.014),一氧化碳(RR = 1.041每1 ppm,95%CI:1.017–1.065),二氧化氮(RR = 1.036每10 ppb,95%CI:1.020–1.053)和二氧化硫(RR = 1.021每10 ppm ppb,95%CI:1.003–1.039),而不是臭氧(RR = 1.012 / 10ppb,95%CI:0.997–1.027)。除臭氧外,微粒和气体成分都与心律不齐的住院或死亡率有暂时的关联。与欧洲和北美相比,亚洲的联系更为紧密。

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