medigraphic.com
ISSN 1527-3172 (Electronic)

2015, Number 2

<< Back Next >>

MEDICC Review 2015; 17 (2)

Influence of climate variability on acute myocardial infarction mortality in Havana, 2001–2012

Rivero VA, Bolufé TJ, Ortiz BPL, Rodríguez DY, Reyes FMC

Language: English
References: 46
Page: 14-19
PDF size: 144.31 Kb.


ABSTRACT

INTRODUCTION Death from acute myocardial infarction is due to many factors; influences on risk to the individual include habits, lifestyle and behavior, as well as weather, climate and other environmental components. Changing climate patterns make it especially important to understand how climatic variability may influence acute myocardial infarction mortality.
OBJECTIVE Describe the relationship between climate variability and acute myocardial infarction mortality during the period 2001–2012 in Havana.
METHODS An ecological time-series study was conducted. The universe comprised 23,744 deaths from acute myocardial infarction (ICD-10: I21–I22) in Havana residents from 2001 to 2012. Climate variability and seasonal anomalies were described using the Bultó-1 bioclimatic index (comprising variables of temperature, humidity, precipitation, and atmospheric pressure), along with series analysis to determine different seasonal-to-interannual climate variation signals. The role played by climate variables in acute myocardial infarction mortality was determined using factor analysis. The Mann-Kendall and Pettitt statistical tests were used for trend analysis with a significance level of 5%.
RESULTS The strong association between climate variability conditions described using the Bultó-1 bioclimatic index and acute myocardial infarctions accounts for the marked seasonal pattern in AMI mortality. The highest mortality rate occurred during the dry season, i.e., the winter months in Cuba (November–April), with peak numbers in January, December and March. The lowest mortality coincided with the rainy season, i.e., the summer months (May–October). A downward trend in total number of deaths can be seen starting with the change point in April 2009.
CONCLUSIONS Climate variability is inversely associated with an increase in acute myocardial infarction mortality as is shown by the Bultó-1 index. This inverse relationship accounts for acute myocardial infarction mortality’s seasonal pattern.


REFERENCES

  1. Planos GE, Rivero VR, Guevara VV, editors. Impacto del cambio climático y medidas de adaptación en Cuba. 1st ed. Havana: Editorial AMA; 2013. p. 401–30. Spanish.

  2. Ortíz Bultó PL, Rodríguez AP, Rivero Valencia A, León Vega N, Díaz González M, Pérez Carrera A. Assessment of human health vulnerability to climate variability and change in Cuba. Environ Health Perspect [Internet]. 2006 Dec 11 [cited 2013 Aug 17];114(12):1942–9. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/ pmid/17185289/

  3. Dilaveris P, Synetos A, Giannopoulos G, Gialafos E, Pantazis A, Stefanadis C. Climate impacts on myocardial infarction deaths in the Athens territory: the CLIMATE study. Heart. 2006 Dec;92(12):1747–51.

  4. Rivero VA. Clima y mortalidad por infarto agudo de miocardio en Cuba 2000–2005 [thesis]. [Havana]: University of Havana; 2008. Spanish.

  5. Lecha Estela LB, de Carvajal EC, Estrada Moreno A, Gómez Acosta EC. Pronósticos biometeorológicos: vía para reducir la ocurrencia de crisis de salud. Caso Sagua la Grande. Rev Cubana Salud Pública [Internet]. 2008 Jan–Mar [cited 2015 Mar 13];34(1). Available from: http://scielo .sld.cu/scielo.php?script=sci_arttext&pid=S0864 -34662008000100009&lng=es&nrm=iso. Spanish.

  6. Martens P, McMichael AJ, editors. Environmental change: climate and health. Issues and research methods. Cambridge: University of Cambridge; 2009 Sep. 366 p.

  7. Pan American Health Organization. Cambio climático y salud humana: riesgos y respuestas. Resumen actualizado 2008. Washington, D.C: World Health Organization; 2008. 40 p. Spanish.

  8. Goerre S, Egli C, Gerber S, Defi la C, Minder C, Richner H, et al. Impact of weather and climate on the incidence of acute coronary syndromes. Int J Cardiol. 2007 May 16;118(1):36–40.

  9. Boersma E, Mercado N, Poldersman D, Gardien M, Vos J, Simoons ML. Acute myocardial infarction. Lancet. 2003 Mar 8;361(9360):847–58.

  10. National Health Statistics and Medical Records Division (CU). Anuario Estadístico de Salud 2010 [Internet]. Havana: Ministry of Public Health (CU); 2011 [cited 2014 Apr 14]. 174 p. Available from: http://fi les.sld.cu/dne/fi les/2011/04/anuario -2010-e-sin-grafi cos1.pdf. Spanish.

  11. National Health Statistics and Medical Records Division (CU). Anuario Estadístico de Salud 2012 [Internet]. Havana: Ministry of Public Health (CU); 2013 Apr [cited 2014 Apr 14]. 190 p. Available from: http://fi les.sld.cu/dne/fi les/2013/04/anuario _2012.pdf. Spanish.

  12. Kriszbacher I. Seasonal and diurnal variation in the occurrence of acute myocardial infarction and the effects of weather changes [thesis]. [Pécs]: University of Pécs; 2006 [cited 2014 Jul 17]. 17 p. Available from: http://doktoriiskola.etk.pte.hu/ dok/doktoriiskola/disszertaciok/kriszbacher_te zisek_angol.pdf

  13. Arias Morales PL, Barrero Varón SL, Granada Romero J, Gallego González CA, Lazo Acosta AE, Monge Cardona IC, et al. Caracterización de los pacientes con infarto agudo de miocardio en un hospital de nivel 2. Arch Med (Colombia). 2006 Dec;(13):10–22. Spanish.

  14. Corvalan C. Cambios ambientales globales y salud. Geneva: World Health Organization; 2004. Spanish.

  15. González Hernández E, Cabadés O’Callaghan A, Cebrián Doménech J, López Merino V, Sanjuán Mañez R, Echánove Errazti I, et al. [Seasonal variations in admissions for acute myocardial infarction. The PRIMVAC Study]. Rev Esp Cardiol [Internet]. 2004 Jan [cited 2014 Jul 24];57(1):12– 9. Available from: http://www.revespcardiol.org/ en/variaciones-estacionales-los-ingresos-por/ articulo/13056528/. Spanish.

  16. Crawford VL, McCann M, Stout RW. Changes in seasonal deaths from myocardial infarction. QJM. 2003 Jan;96(1):45–52.

  17. Bhaskaran K, Hajat S, Haines A, Herrett E, Wilkinson P, Smeeth L. Effects of ambient temperature on the incidence of myocardial infarction. Heart. 2009 Nov;95(21):1760–9.

  18. Loughnan ME, Nicholls N, Tapper NJ. Demographic seasonal and spatial differences in acute myocardial infarction admissions to hospital in Melbourne, Australia. Int J Health Geogr [Internet]. 2008 Jul 30 [cited 2014 Jul 24];7:42. Available from: http://www.ij-healthgeographics.com/ content/7/1/42

  19. Bhaskaran K, Hajat S, Haines A, Herrett E, Wilkinson P, Smeeth L. Short term effects of temperature on risk of myocardial infarction in England and Wales: time series regression analysis of the Myocardial Ischaemia National Audit Project (MINAP) registry. BMJ. 2010 Aug;341:c3823. DOI:10.1136/bmj.c3823.

  20. OXFAM. Informe de investigación de OXFAM. El clima cambia, amenaza y exige adaptación: una mirada a la experiencia cubana de protección ante el cambio climático. United Kingdom: Oxfam Internacional; 2010 Oct. 37 p. Spanish.

  21. Michelozzi P, De Sario M, Accetta G, de’Donato F, Kirchmayer U, Perucci CA, et al. Temperature and summer mortality: geographical and temporal variations in four Italian cities. J Epidemiol Community Health. 2006 May;60(5):417–23.

  22. Stefanadis CI. Environment and the heart. Hellenic J Cardiol [Internet]. 2007 Sep–Oct [cited 2014 Jul 24];48:317–8. Available from: http://www.hellenicjcardiol.com/archive/full_ text/2007/5/2007_5_317.pdf

  23. Madrigano J, Murray A, Baccarelli A, Goldberg R, Melly S, von Klot S, et al. Temperature, myocardial infarction, and mortality: effect modifi cation by individual and area-level characteristics. Epidemiology. 2013 May;24(3):439–46.

  24. Arrastía AM, Limia MM. Energía y cambio climático. Havana: Editorial Academia; 2011. 247 p. Spanish.

  25. Montero Vega V, Montero Campello MJ, Sierra Figueredo P, Sierra Figueredo S, Frómeta Jiménez E. Mortalidad por infarto agudo de miocardio y su relación con las tormentas solares y geomagnéticas en la provincia Guantánamo. Rev Cubana Cardiol Cirugía Cardiovasc [Internet]. 2014 [cited 2015 Mar 20];20(2). Available from: http://www.revcardiologia.sld.cu/index.php/ revcardiologia/article/view/516. Spanish.

  26. Cámara DE. Variables meteorológicas y salud [Internet]. Madrid: Comunidad de Madrid. Publicaciones de Salud; 2006 Apr [cited 2015 Feb 12]. 113 p. Available from: http://www.madrid.org/cs/ Satellite?c=CM_Publicaciones_FA&cid=114229 2376363&language=es&pagename=Comunidad Madrid%2FEstructura. Spanish.

  27. Artiles Visbal L, Otero Iglesias J, Barrios Osuna I. Metodología de la investigación para las ciencias de la salud. Havana: ECIMED; 2008. 355 p. Spanish.

  28. National Statistics Bureau (CU) [Internet]. Havana: National Statistics Bureau (CU); c2015. Series Estadísticas 1985–2011; 2012 [cited 2014 Jul 28]. Available from: http://www.onei.cu/ series2012.htm. Spanish.

  29. National Statistics Bureau (CU) [Internet]. Havana: National Statistics Bureau (CU); c2015. 2010: Una mirada a Cuba. La Habana; 2012 [cited 2014 Jul 28]; [about 1 screen]. Available from: http://www.onei.cu/publicaciones/provin cias_masinf/la%20habana.htm. Spanish.

  30. Sneyers R. Sur l’analyse estatistique des series d’observations. Note Technique No. 143. OMMNo. 15. Geneva: World Meteorological Organization; 1975. p. 1–15. French.

  31. Ferrer Castro JE, Fong Ocejo M, Rosell Castillo A, Guzmán Pérez N, Oliva Corujo L. Caracterización clínico epidemiológica de pacientes con infarto agudo de miocardio egresados de una unidad de cuidados intensivos. MEDISAN [Internet]. 2012 Aug [cited 2015 Mar 20];16(8):1222–8. Available from: http://scielo .sld.cu/scielo.php?script=sci_arttext&pid=S1029 -30192012000800005&lng=es. Spanish.

  32. Gutiérrez Loyola A, Druyet Castillo D, Oramas Domínguez I, Véliz Martínez PL. Infarto de miocardio en Cuba. Situación actual. Rev Cub Med Int Emerg [Internet]. 2010;9(1):1638–48. Available from: http://bvs.sld.cu/revistas/mie/ vol9_1_10/mie04110.pdf. Spanish.

  33. Xu B, Liu H, Su N, Kong G, Bao X, Li J, et al. Association between winter season and risk of death from cardiovascular diseases: a study in more than half a million inpatients in Beijing, China. BMC Cardiovasc Disord [Internet]. 2013 Oct 30 [cited 2015 Mar 20];13:93. Available from: http://www.biomedcentral.com/1471-2261/13/93

  34. Barnett AG, Dobson AJ, McElduff P, Salomaa V, Kuulasmaa K, Sans S, et al. Cold periods and coronary events: an analysis of populations worldwide. J Epidemiol Community Health [Internet]. 2005 Jul [cited 2014 Jul 24];59(7):551–7. Available from: http://jech.bmj.com/content/59 /7/551

  35. McGregor GR. Winter North Atlantic oscillation, temperature and ischaemic heart disease mortality in three English counties. Int J Biometeorol. 2005 Jan;49(3):197–204.

  36. Lee S, Lee E, Park MS, Kwon BY, Kim H, Jung DH, et al. Short-term effect of temperature on daily emergency visits for acute myocardial infarction with threshold temperatures. PLoS One [Internet]. 2014 Apr 25 [cited 2015 Mar 20];9(4):e94070. DOI:10.1371/journal.pone.0094070. Available from: http://www.plosone.org/article-info%3Adoi %2F10.1371%2Fjournal-pone.0094070#pone -0094070-g001

  37. Kendrovsky VT. The impact of temperature on mortality among the urban population in Skopje, Macedonia, during the period 1996–2000. BMC Public Health [Internet]. 2006 Feb 23 [cited 2014 Jul 24];6:44. Available from: http://www.biomed central.com/content/pdf/1471-2458-6-44.pdf

  38. Wichmann J, Rosengren A, Sjöberg A, Barregard L, Sallsten G. Association between ambient temperature and acute myocardial infarction hospitalizations in Gothenburg, Sweden: 1985–2010. PLoS One [Internet]. 2013 Apr 30 [cited 2015 Mar 20];8(4):e62059. DOI:10.1371/ journal.pone.0062059. Available from: http:// www.plosone.org/article/info%3Adoi%2F10.1 371%2Fjournal.pone.0062059

  39. Olcina Cantos J, Martín Estévez D. Variaciones en la densidad del oxígeno en el aire y su infl uencia sobre la salud humana. Boletín Asoc Geógrafos Españoles. 2012;(58):7–32. Spanish.

  40. Fernández de Arróyabe P. [Climate variability change as key concepts to develop biometeorological health warning systems] [Internet]. Santander: University of Cantabria; 2011 [cited 2013 Aug 17]. Available from: http://www.geo biomet.es. Spanish.

  41. Institute of Meteorology (CU) [Internet]. Havana: Institute of Meteorology (CU); c1997–2015. Boletín de la Vigilancia del Clima. Centro del Clima. Características Climatológicas del Mes. Comportamiento de las temperaturas; 2012 Dec [cited 2013 Jan 20]; [about 1 screen]. Available from: http://www.insmet.cu/asp/genesis.asp?TB0=PL ANTILLAS&TB1=ccCLIMA&TB2=/clima/CC/CC Diciembre2012.htm&TB3=2012. Spanish.

  42. Institute of Tropical Medicine (CU). Boletín Epidemiológico del IPK [Internet]. 2010 Dec [cited 2014 Jul 24];20(50). Available from: http://boletines.sld.cu/ipk/2010/12/18/vol-20 -no-50-2010/. Spanish.

  43. Institute of Meteorology (CU) [Internet]. Havana: Institute of Meteorology (CU); c1997–2015. Boletín de la Vigilancia del Clima. Centro del Clima. Características Climatológicas del Mes. Comportamiento de la temperatura; 2010 Dec [cited 2014 Jul 24]; [about 1 screen]. Available from: http:// www.insmet.cu/asp/genesis.asp?TB0=PLANTIL LAS&TB1=ccCLIMA&TB2=/clima/CC/CCDiciem bre2010.htm&TB3=2010. Spanish.

  44. Institute of Meteorology (CU) [Internet]. Havana: Institute of Meteorology (CU); c1997–2015. Boletín de la Vigilancia del Clima. Centro del Clima. Características Climatológicas del Mes. Comportamiento de la temperatura; 2011 Dec [cited 2014 Jul 24]; [about 1 screen]. Available from: http://www.insmet.cu/asp/genesis.asp?T B0=PLANTILLAS&TB1=ccCLIMA&TB2=/clima/ CC/CCDiciembre2011.htm&TB3=2011. Spanish.

  45. Institute of Meteorology (CU)[Internet]. Havana: Institute of Meteorology (CU); c1997–2015. Boletín de la Vigilancia del Clima. Centro del Clima. Características Climatológicas del Mes. Comportamiento de la temperatura; 2001 Dec [cited 2013 Jan 20]; [about 1 screen]. Available from: http://www.insmet.cu/asp/genesis.asp?TB0=PL ANTILLAS&TB1=ccCLIMA&TB2=/clima/CC/CC Diciembre2001.htm&TB3=2001. Spanish.

  46. Ortíz PL, Pérez AR, Rivero VA, Perez AC, Ramón CJ, Lecha LE. La variabilidad y el cambio climático en Cuba: potenciales impactos en la salud humana. Rev Cubana Salud Pública [Internet]. 2008 Jan–Mar [cited 2013 Jan 20];34(1). Available from: http://scielo.sld.cu/scielo.php?pid=S0864-3466 2008000100008&script=sci_arttext. Spanish.




2020     |     www.medigraphic.com