TY  - JOUR
AB  - Global warming, driven by increased greenhouse gas emissions, has led to unprecedented extreme weather events, contributing to higher morbidity and mortality rates from a variety of health conditions, including cardiovascular disease (CVD). The disruption of multiple planetary boundaries has increased the probability of connected, cascading, and catastrophic disasters with magnified health impacts on vulnerable populations. While the impact of climate change can be manifold, non-optimal air temperatures (NOTs) pose significant health risks from cardiovascular events. Vulnerable populations, especially those with pre-existing CVD, face increased risks of acute cardiovascular events during NOT. Factors such as age, socio-economic status, minority populations, and environmental conditions (especially air pollution) amplify these risks. With rising global surface temperatures, the frequency and intensity of heatwaves and cold spells are expected to increase, emphasizing the need to address their health impacts. The World Health Organization recommends implementing heat-health action plans, which include early warning systems, public education on recognizing heat-related symptoms, and guidelines for adjusting medications during heatwaves. Additionally, intensive care units must be prepared to handle increased patient loads and the specific challenges posed by extreme heat. Comprehensive and proactive adaptation and mitigation strategies with health as a primary consideration and measures to enhance resilience are essential to protect vulnerable populations and reduce the health burden associated with NOTs. The current educational review will explore the impact on cardiovascular events, future health projections, pathophysiology, drug interactions, and intensive care challenges and recommend actions for effective patient care.
AU  - Münzel, T.*
AU  - Khraishah, H.*
AU  - Schneider, A.E.
AU  - Lelieveld, J.*
AU  - Daiber, A.*
AU  - Rajagopalan, S.*
C1  - 72184
C2  - 56444
SP  - 731-744
TI  - Challenges posed by climate hazards to cardiovascular health and cardiac intensive care: Implications for mitigation and adaptation.
JO  - Eur. Heart J. Acute Cardiovasc. Care
VL  - 13
IS  - 10
PY  - 2024
SN  - 2048-8734
ER  - 

TY  - JOUR
AB  - Aims: The purpose of this study was to investigate the relationship between heart rate at admission and in-hospital mortality in patients with ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation acute coronary syndrome (NSTE-ACS).Methods: Consecutive ACS patients admitted in 2008-2010 across 58 hospitals in six participant countries of the European Hospital Benchmarking by Outcomes in ACS Processes (EURHOBOP) project (Finland, France, Germany, Greece, Portugal and Spain). Cardiogenic shock patients were excluded. Associations between heart rate at admission in categories of 10 beats per min (bpm) and in-hospital mortality were estimated by logistic regression in crude models and adjusting for age, sex, obesity, smoking, hypertension, diabetes, known heart failure, renal failure, previous stroke and ischaemic heart disease. In total 10,374 patients were included.Results: In both STEMI and NSTE-ACS patients, a U-shaped relationship between admission heart rate and in-hospital mortality was found. The lowest risk was observed for heart rates between 70-79 bpm in STEMI and 60-69 bpm in NSTE-ACS; risk of mortality progressively increased with lower or higher heart rates. In multivariable models, the relationship persisted but was significant only for heart rates >80 bpm. A similar relationship was present in both patients with or without diabetes, above or below age 75 years, and irrespective of the presence of atrial fibrillation or use of beta-blockers.Conclusion: Heart rate at admission is significantly associated with in-hospital mortality in patients with both STEMI and NSTE-ACS. ACS patients with admission heart rate above 80 bpm are at highest risk of in-hospital mortality.
AU  - Jensen, M.T.*
AU  - Pereira, M.*
AU  - Araujo, C.*
AU  - Malmivaara, A.*
AU  - Ferrieres, J.*
AU  - Dégano, I.R.*
AU  - Kirchberger, I.
AU  - Farmakis, D.*
AU  - Garel, P.*
AU  - Torre, M.*
AU  - Marrugat, J.*
AU  - Azevedo, A.*
C1  - 53528
C2  - 44610
CY  - 1 Olivers Yard, 55 City Road, London Ec1y 1sp, England
SP  - 149-157
TI  - Heart rate at admission is a predictor of in-hospital mortality in patients with acute coronary syndromes: Results from 58 European hospitals: The European Hospital Benchmarking by Outcomes in acute coronary syndrome Processes study.
JO  - Eur. Heart J. Acute Cardiovasc. Care
VL  - 7
IS  - 2
PB  - Sage Publications Ltd
PY  - 2018
SN  - 2048-8734
ER  -