Association between fine particulate matter and atrial fibrillation in implantable cardioverter defibrillator patients:
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Association between fine particulate matter and atrial fibrillation in implantable cardioverter defibrillator patients: a systematic review and meta-analysis Chao Yue 1,2
&
Fan Yang 3 & Luyi Wang 4 & Fengwei Li 1,2 & Yingtai Chen 1,2
Received: 5 July 2020 / Accepted: 4 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia with several risk factors. Recent studies have suggested that the exposure to fine particulate matter (PM2.5) increased the incidence of AF, but there is no meta-analysis of AF occurrence due to the exposure to PM2.5 in implantable cardioverter defibrillator (ICD) patients. Methods We conducted a systematic review of publication using PubMed, Embase, the Cochrane library, and Web of Science to explore the association between PM2.5 and AF within ICD patients. The chosen studies were published until June 11, 2020. The I2 statistic and Q test were used to examine statistical heterogeneity across studies. Further sensitivity analyses were carried out to ascertain the reason for heterogeneity. Fixed or random-effect model was used to combine the effects. Final result was presented as the OR with 95% CI of increased incidence of AF for every 10 μg/m3 PM2.5 concentration increased. Results After screening our analysis contained four studies and involved 1689 AF events from 572 patients. After using the random-effect model to combine the included study result, the overall OR was 1.24 (95% CI 1.00–1.53). Conclusion Our meta-analysis indicated that PM2.5 exposure had an adverse effect on AF incidence in ICD patients. Keywords Fine particulate matter . Atrial fibrillation . Air pollution . Implantable cardioverter defibrillator
1 Introduction Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in the general population. It is estimated that 33.5 million people worldwide have AF [1]. AF is associated with increased overall mortality [2–4], Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10840-020-00864-1) contains supplementary material, which is available to authorized users. * Chao Yue [email protected] 1
Department of Thoracic Surgery, Beijing Aerospace General Hospital, Wanyuan North Road, Beijing 100076, China
2
Department of Thoracic Surgery, Peking University People’s Hospital, Xizhimen South Street, Beijing 100044, China
3
Department of Pediatric Intensive Care Unit, Chinese Academy of Medical Sciences and Peking Union Medical College Fuwai Hospital, North Lishi Road, Beijing 100037, China
4
Peking Union Medical College, Chinese Academy of Medical Sciences, Dongdan 3rd, Beijing ,100730, China
stroke [5], myocardial infarction [6], heart failure [7], and other severe cardiovascular diseases. Advanced age, male sex, hypertension, diabetes, obesity, congestive heart failure, myocardial infarction, and valve disease are risk factors contributing to the incidence of AF [8]. In addition to these facto
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