Air Pollution and Temperature: a Systematic Review of Ubiquitous Environmental Exposures and Sudden Cardiac Death

Curr Environ Health Rep. 2023 Dec;10(4):490-500. doi: 10.1007/s40572-023-00414-7. Epub 2023 Oct 17.

Abstract

Purpose of review: Environmental exposures have been associated with increased risk of cardiovascular mortality and acute coronary events, but their relationship with out-of-hospital cardiac arrest (OHCA) and sudden cardiac death (SCD) remains unclear. SCD is an important contributor to the global burden of cardiovascular disease worldwide.

Recent findings: Current literature suggests a relationship between environmental exposures and cardiovascular disease, but their relationship with OHCA/SCD remains unclear. A literature search was conducted in PubMed, Embase, Web of Science, and Global Health. Of 5138 studies identified by our literature search, this review included 30 studies on air pollution, 42 studies on temperature, 6 studies on both air pollution and temperature, and 1 study on altitude exposure and OHCA/SCD. Particulate matter air pollution, ozone, and both hot and cold temperatures are associated with increased risk of OHCA/SCD. Pollution and other exposures related to climate change play an important role in OHCA/SCD incidence.

Keywords: Air pollution; Cardiac arrest; Climate change; Sudden cardiac death; Temperature.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Air Pollutants* / toxicity
  • Air Pollution* / adverse effects
  • Air Pollution* / analysis
  • Cross-Over Studies
  • Death, Sudden, Cardiac / epidemiology
  • Death, Sudden, Cardiac / etiology
  • Environmental Exposure / adverse effects
  • Environmental Exposure / analysis
  • Humans
  • Out-of-Hospital Cardiac Arrest* / chemically induced
  • Out-of-Hospital Cardiac Arrest* / epidemiology
  • Particulate Matter / analysis
  • Temperature

Substances

  • Particulate Matter
  • Air Pollutants