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Published on: January 27, 2023
Relationship between climate and hemodynamics according to echocardiography
Zach Rozenbaum1,2, Yan Topilsky1,2, Shafik Khoury1,2
1Department of Cardiology, Tel Aviv Medical Center , Tel Aviv , Israel.
Local climate significantly impacts heart function, affecting blood flow and diastolic function in ambulatory patients. Hotter weather is linked to improved hemodynamic measures, including stroke volume and ejection fraction, and reduced pulmonary artery pressure.
Area of Science:
- Cardiovascular Physiology
- Environmental Health
- Medical Climatology
Background:
- Controlled studies indicate environmental heat influences circulatory dynamics.
- The impact of local climate on hemodynamics in ambulatory patients remains less understood.
- Echocardiography provides a non-invasive method to assess hemodynamic parameters.
Purpose of the Study:
- To investigate the association between local climate conditions and hemodynamic parameters measured by echocardiography.
- To determine if seasonal variations in temperature and humidity affect cardiovascular function in a large patient cohort.
- To specifically analyze the influence of thermal stress on diastolic function and pulmonary artery pressure.
Main Methods:
- Retrospective analysis of 11,348 echocardiograms from ambulatory patients (≥18 years) between January 2012 and July 2016.
- Correlation of echocardiographic data with daily climate metrics including discomfort index, apparent temperature, and thermal index.
- Comparison of hemodynamic parameters between hotter months (June-November) and colder months (December-May).
Main Results:
- Climate indices showed direct correlations with stroke volume and mitral e' (a measure of diastolic function), and inverse correlation with systolic pulmonary artery pressure (SPAP).
- Echocardiograms performed during hotter months were associated with a lower likelihood of impaired diastolic function (e' septal < 7 cm/s) and elevated SPAP (> 40 mmHg).
- Hotter days and seasons were linked to higher mitral e', stroke volume, ejection fraction, and lower SPAP and tricuspid regurgitation.
Conclusions:
- Local climate and environmental thermal stress demonstrably affect hemodynamic parameters in ambulatory patients.
- Diastolic function, specifically mitral e' values, and pulmonary artery pressure are notably influenced by climatic conditions.
- Findings suggest that climate should be considered as a potential confounding factor in echocardiographic assessments of cardiovascular health.
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