title: Acute coronary syndromes related to bio-climate in a Mediterranean area. The case of Ierapetra, Crete Island, Greece.
abstract: The occurrence of non-fatal acute coronary syndromes (ACS) is examined in relation with the local bioclimatic conditions in the Ierapetra area, in the southernmost part of Crete Island, Greece, during the period 2004-2007. Daily ACS counts and corresponding meteorological parameters, such as maximum and minimum air temperature, relative humidity, wind speed and cloudiness, were analyzed. Besides, the daily values of the human thermal index, physiologically equivalent temperature (PET) was evaluated. Pearson's χ(2)  test and generalized linear models (GLM) with Poisson distribution were applied. The ACS syndromes present a multiple variation within the year, with the primary maximum in August and the secondary in May, while relative high ACS frequencies exist in early winter time. The impact of the weather variability on the ACS incidence is not statistically significant (C.L. 95%).
authors: Laboratory of Climatology & Atmospheric Environment, Faculty of Geology & Geoenvironment, University of Athens, Panepistimiopolis, Athens 15784, Greece. nastos@geol.uoa.gr
authors: Panagiotis T
authors: PT
authors: Nastos
authors: Katerina N
authors: KN
authors: Giaouzaki
authors: Nikos A
authors: NA
authors: Kampanis
authors: Andreas
authors: A
authors: Matzarakis
mesh_terms: D054058:Acute Coronary Syndrome / Q000453:epidemiology*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000789:Angina, Unstable / Q000453:epidemiology*; D016009:Chi-Square Distribution; D002648:Child; D002980:Climate; D005260:Female; D006115:Greece / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology*; D016012:Poisson Distribution; D012621:Seasons; D013696:Temperature; D014887:Weather