Differential effects of fine particulate matter constituents on acute coronary syndrome onset

Abstract Fine particulate matter has been linked with acute coronary syndrome. Nevertheless, the key constituents remain unclear. Here, we conduct a nationwide case-crossover study in China during 2015–2021 to quantify the associations between fine particulate matter constituents (organic matter, bl...

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Main Authors: Yixuan Jiang, Chuyuan Du, Renjie Chen, Jialu Hu, Xinlei Zhu, Xiaowei Xue, Qinglin He, Jun Lu, Junbo Ge, Yong Huo, Haidong Kan
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-024-55080-6
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author Yixuan Jiang
Chuyuan Du
Renjie Chen
Jialu Hu
Xinlei Zhu
Xiaowei Xue
Qinglin He
Jun Lu
Junbo Ge
Yong Huo
Haidong Kan
author_facet Yixuan Jiang
Chuyuan Du
Renjie Chen
Jialu Hu
Xinlei Zhu
Xiaowei Xue
Qinglin He
Jun Lu
Junbo Ge
Yong Huo
Haidong Kan
author_sort Yixuan Jiang
collection DOAJ
description Abstract Fine particulate matter has been linked with acute coronary syndrome. Nevertheless, the key constituents remain unclear. Here, we conduct a nationwide case-crossover study in China during 2015–2021 to quantify the associations between fine particulate matter constituents (organic matter, black carbon, nitrate, sulfate, and ammonium) and acute coronary syndrome, and to identify the critical contributors. Our findings reveal all five constituents are significantly associated with acute coronary syndrome onset. The magnitude of associations peaks on the concurrent day, attenuates thereafter, and becomes null at lag 2 day. The largest effects are observed for organic matter and black carbon, with each interquartile range increase in their concentrations corresponding to 2.15% and 2.03% increases in acute coronary syndrome onset, respectively. These two components also contribute most to the joint effects, accounting for 31% and 22%, respectively. Our findings highlight tailored clinical management and targeted control of carbonaceous components to protect cardiovascular health.
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institution Kabale University
issn 2041-1723
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publishDate 2024-12-01
publisher Nature Portfolio
record_format Article
series Nature Communications
spelling doaj-art-8810392b0a564dfc9098fb66e2ec5b2f2025-01-05T12:36:52ZengNature PortfolioNature Communications2041-17232024-12-0115111010.1038/s41467-024-55080-6Differential effects of fine particulate matter constituents on acute coronary syndrome onsetYixuan Jiang0Chuyuan Du1Renjie Chen2Jialu Hu3Xinlei Zhu4Xiaowei Xue5Qinglin He6Jun Lu7Junbo Ge8Yong Huo9Haidong Kan10School of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan UniversitySchool of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan UniversitySchool of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan UniversityDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular DiseasesSchool of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan UniversitySchool of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan UniversitySchool of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan UniversitySchool of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan UniversityDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular DiseasesDepartment of Cardiology, Peking University First HospitalSchool of Public Health, Key Lab of Public Health Safety of the Ministry of Education, Fudan UniversityAbstract Fine particulate matter has been linked with acute coronary syndrome. Nevertheless, the key constituents remain unclear. Here, we conduct a nationwide case-crossover study in China during 2015–2021 to quantify the associations between fine particulate matter constituents (organic matter, black carbon, nitrate, sulfate, and ammonium) and acute coronary syndrome, and to identify the critical contributors. Our findings reveal all five constituents are significantly associated with acute coronary syndrome onset. The magnitude of associations peaks on the concurrent day, attenuates thereafter, and becomes null at lag 2 day. The largest effects are observed for organic matter and black carbon, with each interquartile range increase in their concentrations corresponding to 2.15% and 2.03% increases in acute coronary syndrome onset, respectively. These two components also contribute most to the joint effects, accounting for 31% and 22%, respectively. Our findings highlight tailored clinical management and targeted control of carbonaceous components to protect cardiovascular health.https://doi.org/10.1038/s41467-024-55080-6
spellingShingle Yixuan Jiang
Chuyuan Du
Renjie Chen
Jialu Hu
Xinlei Zhu
Xiaowei Xue
Qinglin He
Jun Lu
Junbo Ge
Yong Huo
Haidong Kan
Differential effects of fine particulate matter constituents on acute coronary syndrome onset
Nature Communications
title Differential effects of fine particulate matter constituents on acute coronary syndrome onset
title_full Differential effects of fine particulate matter constituents on acute coronary syndrome onset
title_fullStr Differential effects of fine particulate matter constituents on acute coronary syndrome onset
title_full_unstemmed Differential effects of fine particulate matter constituents on acute coronary syndrome onset
title_short Differential effects of fine particulate matter constituents on acute coronary syndrome onset
title_sort differential effects of fine particulate matter constituents on acute coronary syndrome onset
url https://doi.org/10.1038/s41467-024-55080-6
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