![]() We did not find an increased risk of STEMI during the 66 days of HWAP in the Community of Madrid between June 2013 and June 2017. No effect modification was observed by age or sex. Warmer temperatures were not associated with a higher incidence (IRR,1.03 95%CI, 0.76-1.41), whereas colder temperatures were significantly associated with an increased risk (IRR, 1.25 95%CI, 1.02-1.54). The minimum incidence rate was observed at the maximum temperature of 18☌. Incidence rate ratios (IRR) adjusted for trend and seasonality and 95%CI were estimated using time series regression models.Ī total of 6465 cases of STEMI were included 212 cases occurred during the 66-day period of HWAP and 1816 cases during the nonalert summer period (IRR, 1.14 95%CI, 0.96-1.35). The population studied consisted of confirmed STEMI cases registered in the Infarction Code of the Community of Madrid between June 2013 and June 2017. The aim of this study was to analyze the relationship between the incidence of ST-segment elevation myocardial infarction (STEMI) and maximum temperature, in particular during heat wave alert periods (HWAP). Episodes of extreme heat are associated with increased morbidity and mortality in chronically-ill patients but there is a need to clearly establish the relationship between extreme heat and myocardial infarction.
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