THE IMPACT OF EXTREME TEMPERATURES ON MORTALITY FROM MYOCARDIAL INFARCTION IN THE MUNICIPALITY OF SÃO PAULO

• Autor(a) principal: Ikefuti , Priscilla Venâncio
• Data de Publicação: 2024
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Hygeia (Uberlândia)
• Texto Completo: https://seer.ufu.br/index.php/hygeia/article/view/73369
• topic: Clima e saúde; Temperatura; Mortalidade; Climate and health; Mortality; Temperature

Acute Myocardial Infarction (AMI) is a highly lethal cardiovascular disease that affects the heart, being the biggest cause of mortality in Brazil and the world. AMI is a multicausal chronic disease, where the individual's unhealthy habits are related to the high incidence of cases. Other factors that affect the increase in AMI cases are environmental, such as temperature and pollution. To analyze the association between mortality from Myocardial Infarction (AMI) and extreme temperature values, using generalized linear models (GLM). We used AMI mortality data collected through the Municipal Mortality Information Program (PRO-AIM), which monitors daily mortality records for several cases in the city of São Paulo. Daily mortality data from chapter IX – Diseases of the Circulatory System classified by the International Disease Code (ICD-10) were used and within this chapter we selected the set (I-20 to I-25) that corresponds to diseases linked to (AMI) from 1999 to 2014. Meteorological data were acquired at the meteorological station of the Institute of Astronomy and Geophysics (IAG) of the University of São Paulo (USP). To analyze the association of mortality with temperatures, a generalized linear model was used using the quasi-Poisson method and distributed lag models. As a result, we found a high relative risk (RR=1.20; CI: 1.04 – 1.49) for cold, where the risk was present in the 21 days after exposure, whereas for heat, the risk was recorded for temperatures above 33ºC for the first days of exposure to temperature. Bearing in mind that emergency care for cases of AMI can prevent deaths, a better understanding of the importance of weather can allow the development of alert systems with emergency care services and the targeting of campaigns to prevent risk factors avoidable risks.