Influence of daily individual meteorological parameters on the incidence of acute coronary syndrome.
BACKGROUND
A nationwide study was conducted to explore the short term association between daily individual meteorological parameters and the incidence of acute coronary syndrome (ACS) treated with coronary emergency catheter interventions in the Republic of Slovenia, a south-central European country.


METHODS
We linked meteorological data with daily ACS incidence for the entire population of Slovenia, for the population over 65 years of age and for the population under 65 years of age. Data were collected daily for a period of 4 years from 1 January 2008 to 31 December 2011. In line with existing studies, we used a main effect generalized linear model with a log-link-function and a Poisson distribution of ACS.


CONCLUSIONS
Three of the studied meteorological factors (daily average temperature, atmospheric pressure and relative humidity) all have relevant and significant influences on ACS incidences for the entire population. However, the ACS incidence for the population over 65 is only affected by daily average temperature, while the ACS incidence for the population under 65 is affected by daily average pressure and humidity. In terms of ambient temperature, the overall findings of our study are in line with the findings of the majority of contemporary European studies, which also note a negative correlation. The results regarding atmospheric pressure and humidity are less in line, due to considerable variations in results. Additionally, the number of available European studies on atmospheric pressure and humidity is relatively low. The fourth studied variable-season-does not influence ACS incidence in a statistically significant way.
Faculty of Health Sciences, University of Ljubljana, Zdravstvena Pot 5, SI-1000 Ljubljana, Slovenia. mirjam.ravljen@zf.uni-lj.si.
Mirjam
M
Ravljen
Institute of Occupational Safety, Chengdujska Cesta 25, SI-1260 Ljubljana-Polje, Slovenia. marjan.bilban@zvd.si.
Marjan
M
Bilban
Biotechnical Faculty, University of Ljubljana, Jamnikarjeva 101, SI-1000 Ljubljana, Slovenia. lucka.kajfez.bogataj@bf.uni-lj.si.
Lučka
L
Kajfež-Bogataj
Information Systems Laboratory, Faculty of Computer and Information Science, University of Ljubljana, Tržaška 25, SI-1000 Ljubljana, Slovenia. tomaz.hovelja@fri.uni-lj.si.
Tomaž
T
Hovelja
Information Systems Laboratory, Faculty of Computer and Information Science, University of Ljubljana, Tržaška 25, SI-1000 Ljubljana, Slovenia. damjan.vavpotic@fri.uni-lj.si.
Damjan
D
Vavpotič
D054058:Acute Coronary Syndrome / Q000453:epidemiology* / Q000209:etiology; D000368:Aged; D005260:Female; D006801:Humans; D015994:Incidence; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D016012:Poisson Distribution; D012621:Seasons; D017524:Slovenia / Q000453:epidemiology; D014887:Weather