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PM2.5 oxidative potential modifies heart-attack risk

Same-day PM2.5 raises myocardial-infarction visits more where particles deplete glutathione, and NOx–ozone oxidant capacity adds further risk.

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How many MI emergency visits entered the analysis?

30,101 cases across 16 cities.

Source: Ambient PM2.5 and risk of emergency room visits for myocardial infarction: impact of regional PM2.5 oxidative potential: a case-crossover study · DOI · quote verified

How was oxidative burden defined?

PM2.5 mass times regional glutathione or ascorbate oxidative potential.

Source: Ambient PM2.5 and risk of emergency room visits for myocardial infarction: impact of regional PM2.5 oxidative potential: a case-crossover study · DOI · quote verified

Which OP metric modified the PM2.5–MI association?

Glutathione-related OP (p=0.026), not ascorbate OP (p=0.164).

Source: Ambient PM2.5 and risk of emergency room visits for myocardial infarction: impact of regional PM2.5 oxidative potential: a case-crossover study · DOI · quote verified

Did glutathione burden fit better than PM2.5 mass?

Yes; AIC 87,710 versus 87,718 for mass.

Source: Ambient PM2.5 and risk of emergency room visits for myocardial infarction: impact of regional PM2.5 oxidative potential: a case-crossover study · DOI · quote verified

Which lag was strongest for PM2.5?

Lag-0 (same day); lags 1–2 were weaker; 3-day mean similar to lag-0.

Source: Ambient PM2.5 and risk of emergency room visits for myocardial infarction: impact of regional PM2.5 oxidative potential: a case-crossover study · DOI · quote verified

What happened to NO2 and O3 after glutathione-burden adjustment?

They were no longer associated; combined Ox remained associated.

Source: Ambient PM2.5 and risk of emergency room visits for myocardial infarction: impact of regional PM2.5 oxidative potential: a case-crossover study · DOI · quote verified

Where were the strongest PM2.5–MI associations?

Areas with high OPGSH and high redox-weighted NO2+O3 oxidant capacity.

Source: Ambient PM2.5 and risk of emergency room visits for myocardial infarction: impact of regional PM2.5 oxidative potential: a case-crossover study · DOI · quote verified

Per what increment were PM2.5 risks reported?

Per 5 μg/m³, about the IQR of case–control differences.

Source: Ambient PM2.5 and risk of emergency room visits for myocardial infarction: impact of regional PM2.5 oxidative potential: a case-crossover study · DOI · quote verified

What public-health implication do the authors draw?

Acute cardiovascular risk may not be captured by PM2.5 mass alone.

Source: Ambient PM2.5 and risk of emergency room visits for myocardial infarction: impact of regional PM2.5 oxidative potential: a case-crossover study · DOI · quote verified

How was regional OP measured?

Integrated 2012–2013 filters from 20 sites in the 16 cities, assayed in synthetic lining fluid.

Source: Ambient PM2.5 and risk of emergency room visits for myocardial infarction: impact of regional PM2.5 oxidative potential: a case-crossover study · DOI · quote verified