International Journal of Biometeorology

, Volume 62, Issue 9, pp 1607–1613 | Cite as

The effect of meteorological conditions and air pollution on the occurrence of type A and B acute aortic dissections

  • Nan Xie
  • Liqun Zou
  • Lei YeEmail author
Original Paper


To explore the association of weather conditions and air pollutants with incidence risk of acute aortic dissection (AAD), we included patients who consecutively admitted to the emergency units of our hospital for AAD between Dec. 1, 2013, and Apr. 30, 2017. Their medical records were reviewed. The meteorological data (daily precipitation, minimal and maximal temperatures, mean atmospheric pressure, relative humidity) and air pollutants values [air daily index (AQI), aerodynamic diameter of 2.5 mm or less (PM2.5), aerodynamic diameter of 10 mm or less (PM10), ozone, nitrogen dioxide (NO2), carbon monoxide (CO), sulfur dioxide (SO2), and ozone (O3_8h)] over the same period were provided by the Chengdu Meteorological Bureau. Finally, a total of 345 patients were admitted with AAD. The results showed that the incidence of AAD was higher in winter than in summer (p < 0.001). Statistical analysis highlighted lower the atmospheric temperature, higher the incidence of AAD (p < 0.001). A significant correlation was found between air pollutants and AAD onset. AQI, PM2.5, SO2, and NO2 were independent predictors of incidence of AAD (OR = 1.006, p = 0.007; OR = 1.020, p < 0.001; OR = 1.037, p < 0.001; and OR = 0.925, p < 0.001; respectively). While, PM10, CO, and O3_8H had a neutral effect on risk of AAD onset. In conclusions, cold atmospheric temperature and larger daily temperature change were correlated with a higher incidence of AAD. AQI, PM2.5, and SO2 played important roles in triggering acute aortic events.


Acute aortic dissection Epidemiology Meteorology Ambient temperature Air pollutants 



We would like to thank Dr. Ping Tan and Shiyou Wei for weather data supply and friendly advice.

Compliance with ethical standards

This study was approved by the Ethics Committee of West China Hospital, and the methods were carried out in accordance with the approved guidelines.

Conflict of interest

The authors declare they have no competing interests.


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Copyright information

© ISB 2018

Authors and Affiliations

  1. 1.Department of Emergency, West China HospitalSichuan UniversityChengduChina

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