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THE INFLUENCE OF AIR TEMPERATURE, HUMIDITY AND AIR PRESSURE ON THE PRESENTATION OF PATIENTS WITH ACUTE CORONARY SYNDROME TO THE EMERGENCY DEPARTMENT
DEJAN MAČINKOVIĆ
orcid.org/0000-0001-9130-0356
; Rijeka University Hospital Centre, Emergency Department, Rijeka, Croatia
ANA TANCABEL MAČINKOVIĆ
; Rijeka University Hospital Centre, Emergency Department, Rijeka, Croatia
MATE LERGA
; Rijeka University Hospital Centre, Emergency Department, Rijeka, Croatia
Abstract
Ischemic heart disease is the leading cause of death worldwide. Acute coronary syndrome (ACS) encompasses a range of illnesses caused by sudden myocardial ischemia. There are three separate entities in ACS: ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI) and unstable angina. STEMI can be diagnosed using an electrocardiogram (ECG) and a set of specifi c criteria. NSTEMI patients can have nonspecifi c ECG changes (T-wave inversions, ST-segment depression, etc.) but it is diagnosed based on elevation of cardiac enzymes (troponin). Unstable angina is a reversible myocardial ischemia of short duration in which patients can, but need not, have ECG changes during the occurrence of symptoms and do not have elevated cardiac biomarkers. It is important to note that unstable angina often precedes myocardial infarction. There are several human interferences, mainly industrial processes, causing negative impact on climate worldwide. Global warming is causing a growing number of natural disasters resulting in governments beginning to implement strategies to counteract negative infl uences. Meteorological statistics is being vigorously monitored and used in various studies from the human health perspective. The main objective of this study was to investigate if meteorological conditions had an impact on arrival of ACS patients to the Emergency Department, Rijeka University Hospital Centre in the period from January 1, 2017 until December 31, 2017. Descriptive statistical analysis was performed on a dataset obtained from the Hospital information system. The research showed that there was no correlation between mean temperature, atmospheric pressure and relative humidity on the number of ACS presenting to the Emergency Department. The research confi rmed the already widely known fact that male sex had a signifi cantly higher incidence of ACS.
Keywords
acute coronary syndrome; biometeorology; STEMI; NSTEMI; unstable angina
Hrčak ID:
235759
URI
Publication date:
16.3.2020.
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