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Relationship between seasonal weather changes, risk of dehydration, and incidence of severe bradyarrhythmias requiring urgent temporary transvenous cardiac pacing in an elderly population.

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Relationship between seasonal weather changes, risk of dehydration, and incidence of severe bradyarrhythmias requiring urgent temporary transvenous cardiac pacing in an elderly population.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Palmisano, Pietro Accogli, Michele Zaccaria, Maria Vergari, Alessandra De Masi, Gabriele De Luca Negro, Luca De Blasi, Sergio
Spatial Coverage	Italy
Description	Author Affiliation: Palmisano P ( Cardiology Unit, 'Card. G. Panico' Hospital, Via S. Pio X, 4, 73039, Tricase, Lecce, Italy, dr.palmisano@libero.it.)
Abstract	There is little information on any seasonal variations or meteorological factors associated with symptomatic bradyarrhythmias requiring cardiac pacing. The aim of this single-center study was to investigate the seasonal distribution of the incidence of severe, life-threatening bradyarrhythmias requiring urgent temporary transvenous cardiac pacing in an elderly population. Consecutive patients who underwent urgent temporary transvenous cardiac pacing between 2007 and 2012 were enrolled. The baseline characteristics of the patients and some meteorological parameters, including the calculation the daily heat index (HI), were recorded. During the study period, 79 consecutive patients (mean age 82 ± 8 years, 41% male) underwent urgent temporary transvenous cardiac pacing, mainly for third-degree atrioventricular block (79%). The incidence of bradyarrhythmias was significantly higher in summer than in the other seasons (P < 0.001). Moreover, the highest incidence was observed in months with HI > 90 °F for >3 h per day for at least 10 days (P < 0.001). A direct correlation was found between the average monthly temperature and the monthly number of patients undergoing temporary cardiac pacing (r = 0.54, P < 0.001). Compared with other patients, those observed during the hottest months were significantly older and more frequently affected by chronic disabling neurological diseases (all P < 0.05). In addition, they more frequently showed biochemical indices of dehydration, renal function impairment and hyperkalemia (all P < 0.05). This study showed an increased incidence of severe bradyarrhythmias in an elderly population during the hottest months of the year. In these months, in subjects characterized by increased susceptibility to dehydration, the risk of developing bradyarrhythmias was increased significantly.
File Format	HTM / HTML
ISSN	00207128
Issue Number	7
Volume Number	58
e-ISSN	14321254
Journal	International Journal of Biometeorology
Language	English
Publisher	Springer
Publisher Date	2014-09-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Biophysics Bradycardia Epidemiology Cardiac Pacing, Artificial Utilization Dehydration Weather Aged Aged, 80 And Over Therapy Female Humans Incidence Italy Male Risk Seasons Journal Article
Content Type	Text
Resource Type	Article
Subject	Ecology Health, Toxicology and Mutagenesis Atmospheric Science

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