Public health importance of triggers of myocardial infarction: a comparative risk assessment
2011

Traffic and Air Pollution Trigger Heart Attacks

publication Evidence: moderate

Author Information

Author(s): Tim Nawrot

Primary Institution: Hasselt University

Hypothesis

Do traffic-related stress and air pollution trigger more heart attacks than cocaine, caffeine, anger, or sex?

Conclusion

Traffic exposure and air pollution are associated with more heart attacks on a population level than other triggers.

Supporting Evidence

  • Traffic exposure was associated with more heart attacks than any other single factor.
  • Air pollution exposure is not something people can always make a choice about.
  • The study highlighted discrepancies between individual and population-based risks.

Takeaway

Being around traffic and air pollution can cause more heart attacks than things like anger or cocaine, especially for a lot of people.

Methodology

The study used a comparative risk assessment analysis of 36 previously published studies on nonfatal heart attacks.

Potential Biases

Concerns were raised about the consistency of methods used to determine exposure prevalence for air pollution versus other factors.

Limitations

The study did not address interactions among triggers or consider some known triggers like temperature extremes and secondhand smoke.

Digital Object Identifier (DOI)

10.1016/S0140-6736(10)62296-9

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