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Impact of particulate matter on the incidence of atrial fibrillation and the risk of adverse clinical outcomes: a review

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dc.contributor.authorMandaglio-Collados, Darío
dc.contributor.authorLópez-Gálvez, Raquel
dc.contributor.authorRuiz Alcaraz, Antonio José
dc.contributor.authorLópez-García, Cecilia
dc.contributor.authorRoldán Schilling, Vanessa
dc.contributor.authorLip, Gregory Y.H.
dc.contributor.authorMarín Ortuño, Francisco
dc.contributor.authorRivera Caravaca, José Miguel
dc.contributor.departmentBioquímica y Biología Molecular B e Inmunología
dc.contributor.otherFacultad de Biología
dc.date.accessioned2026-01-13T11:53:41Z
dc.date.available2026-01-13T11:53:41Z
dc.date.copyright© 2023 The Authors
dc.date.issued2023-04-04
dc.description.abstractBackground. Atrial fibrillation (AF) is common and increases the risk of stroke and mortality. Previous studies have suggested that air pollution is an important risk factor for new-onset AF. Herein, we review the evidence regarding: 1) the association between exposure to particulate matter (PM) and new-onset AF, and 2) the risk of worse clinical outcomes in patients with pre-existent AF and their relation to PM exposure. Methods. A selection of studies between 2000 and 2023 linking PM exposure and AF was performed through searches in PubMed, Scopus, Web of Science, and Google Scholar. Results. 17 studies from different geographical areas demonstrated that exposure to PM was associated with an increased risk of new-onset AF, although the results were heterogeneous regarding the temporal pattern (short- or long-term) ultimately related to AF. Most of the studies concluded that the risk of new-onset AF increased between 2 %–18 % per 10 μg/m3 increment in PM2.5 or PM10 concentrations, whereas the incidence (percentage of change of incidence) increased between 0.29 %–2.95 % per 10 μg/m3 increment in PM2.5 or PM10. Evidence about the association between PM and adverse events in patients with pre-existent AF was scarce but 4 studies showed a higher risk of mortality and stroke (between 8 %–64 % in terms of hazard ratio) in patients with pre-existent AF when PM exposure was higher. Conclusions. Exposure to PM (both PM2.5 and PM10) is a risk factor for AF, and a risk factor for mortality and stroke in patients who already suffer from AF. Since the relationship between PM and AF is independent of the region of the world, PM should be considered as a global risk factor for both AF and worse clinical outcomes in AF patients. Specific measures to prevent air pollution exposure need to be adopted.
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dc.format.extent9
dc.identifier.citationScience of the Total Environment 880 (2023) 163352
dc.identifier.doihttps://doi.org/10.1016/j.scitotenv.2023.163352
dc.identifier.issn0048-9697
dc.identifier.urihttp://hdl.handle.net/10201/186229
dc.languageeng
dc.publisherElsevier
dc.relationThis work was supported by the group CB16/11/00385 from CIBERCV
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S004896972301971X?via%3Dihub
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectAtrial fibrillation
dc.subjectParticulate matter
dc.subjectPM2.5
dc.subjectPM10
dc.subjectStroke
dc.subjectMortality
dc.subjectPollution
dc.subject.odsNo relacionado con ningún objetivo de desarrollo sostenible
dc.titleImpact of particulate matter on the incidence of atrial fibrillation and the risk of adverse clinical outcomes: a review
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
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