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Subject Item
n2:RIV%2F00216208%3A11120%2F14%3A43908570%21RIV15-MSM-11120___
rdf:type
n9:Vysledek skos:Concept
dcterms:description
The present study examines hot and cold spell effects on ischaemic heart disease (IHD) mortality in the Czech Republic during 1994-2009, with emphasis upon differences in the effects on acute myocardial infarction (AMI) and chronic IHD. Methods: We use analogous definitions for hot and cold spells based on quantiles of daily average temperature anomalies, thus allowing for comparison of results for summer hot spells and winter cold spells. Daily mortality data were standardised to account for the long-term trend and the seasonal and weekly cycles. Periods when the data were affected by epidemics of influenza and other acute respiratory infections were removed from the analysis. Results: Both hot and cold spells were associated with excess IHD mortality. For hot spells, chronic IHD was responsible for most IHD excess deaths in both male and female populations, and the impacts were much more pronounced in the 65+ years age group. The excess mortality from AMI was much lower compared to chronic IHD mortality during hot spells. For cold spells, by contrast, the relative excess IHD mortality was most pronounced in the younger age group (0-64 years), and we found different pattern for chronic IHD and AMI, with larger effects on AMI. Conclusions: The findings show that while excess deaths due to IHD during hot spells are mainly of persons with chronic diseases whose health had already been compromised, cardiovascular changes induced by cold stress may result in deaths from acute coronary events rather than chronic IHD, and this effect is important also in the younger population. This suggests that the most vulnerable population groups as well as the most affected cardiovascular diseases differ between hot and cold spells, which needs to be taken into account when designing and implementing preventive actions. The present study examines hot and cold spell effects on ischaemic heart disease (IHD) mortality in the Czech Republic during 1994-2009, with emphasis upon differences in the effects on acute myocardial infarction (AMI) and chronic IHD. Methods: We use analogous definitions for hot and cold spells based on quantiles of daily average temperature anomalies, thus allowing for comparison of results for summer hot spells and winter cold spells. Daily mortality data were standardised to account for the long-term trend and the seasonal and weekly cycles. Periods when the data were affected by epidemics of influenza and other acute respiratory infections were removed from the analysis. Results: Both hot and cold spells were associated with excess IHD mortality. For hot spells, chronic IHD was responsible for most IHD excess deaths in both male and female populations, and the impacts were much more pronounced in the 65+ years age group. The excess mortality from AMI was much lower compared to chronic IHD mortality during hot spells. For cold spells, by contrast, the relative excess IHD mortality was most pronounced in the younger age group (0-64 years), and we found different pattern for chronic IHD and AMI, with larger effects on AMI. Conclusions: The findings show that while excess deaths due to IHD during hot spells are mainly of persons with chronic diseases whose health had already been compromised, cardiovascular changes induced by cold stress may result in deaths from acute coronary events rather than chronic IHD, and this effect is important also in the younger population. This suggests that the most vulnerable population groups as well as the most affected cardiovascular diseases differ between hot and cold spells, which needs to be taken into account when designing and implementing preventive actions.
dcterms:title
Impacts of hot and cold spells differ for acute and chronic ischaemic heart diseases Impacts of hot and cold spells differ for acute and chronic ischaemic heart diseases
skos:prefLabel
Impacts of hot and cold spells differ for acute and chronic ischaemic heart diseases Impacts of hot and cold spells differ for acute and chronic ischaemic heart diseases
skos:notation
RIV/00216208:11120/14:43908570!RIV15-MSM-11120___
n3:aktivita
n7:P n7:I n7:V
n3:aktivity
I, P(GAP209/11/1985), V
n3:cisloPeriodika
Article Nr. 480
n3:dodaniDat
n14:2015
n3:domaciTvurceVysledku
n15:3784363
n3:druhVysledku
n19:J
n3:duvernostUdaju
n17:S
n3:entitaPredkladatele
n4:predkladatel
n3:idSjednocenehoVysledku
20790
n3:idVysledku
RIV/00216208:11120/14:43908570
n3:jazykVysledku
n12:eng
n3:klicovaSlova
Climate; Environment; Mortality; Cardiovascular diseases; Epidemiology
n3:klicoveSlovo
n8:Cardiovascular%20diseases n8:Mortality n8:Climate n8:Environment n8:Epidemiology
n3:kodStatuVydavatele
GB - Spojené království Velké Británie a Severního Irska
n3:kontrolniKodProRIV
[C7944EB2217C]
n3:nazevZdroje
BMC Public Health
n3:obor
n18:DN
n3:pocetDomacichTvurcuVysledku
1
n3:pocetTvurcuVysledku
4
n3:projekt
n10:GAP209%2F11%2F1985
n3:rokUplatneniVysledku
n14:2014
n3:svazekPeriodika
14
n3:tvurceVysledku
Kynčl, Jan
n3:wos
000336761200001
s:issn
1471-2458
s:numberOfPages
11
n6:doi
10.1186/1471-2458-14-480
n13:organizacniJednotka
11120