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The association between heat stroke and subsequent cardiovascular diseases.


ABSTRACT: BACKGROUND:Recent studies have indicated that several critical illnesses are associated with an increased risk of cardiovascular diseases (CVDs). Nonetheless, studies of the association between heat-related illnesses (HRIs) and subsequent CVDs are still limited. We sought to evaluate whether heat stroke (HS) was associated with an increased CVD incidence. METHODS:The data from the nationwide, population-based, retrospective, cohort study described herein were obtained from the National Health Insurance Research Database in Taiwan. The outcome evaluated in this study was the cumulative incidence of CVDs, which was compared between patients with HS, patients with other HRIs and a control group during a 14-year follow-up period. RESULTS:Our analyses included 150 HS cases, 150 patients with other HRIs and 150 patients without HRIs. The HS patients had a significantly higher incidence of developing CVDs than the other HRI and control patients (32.67% vs. 23.33% vs. 16.67%, p = 0.005). Patients with HS had an increased incidence of acute myocardial infarction (AMI) compared with that of the controls (6% vs. 2.67%, p = 0.042) and an increased incidence of acute ischemic stroke (AIS) compared with those of the other HRI and control patients (12% vs. 6% vs. 4.67%, p = 0.038). An increased risk of chronic kidney disease (CKD) was also found in the patients with HS and other HRIs compared to that in the controls (17.33% vs. 14.67% vs. 6.67%, p = 0.016). CONCLUSION:Prior HS was associated with an increased incidence of CVDs, particularly AMI and AIS, and an increased incidence of CKD.

SUBMITTER: Wang JC 

PROVIDER: S-EPMC6373898 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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The association between heat stroke and subsequent cardiovascular diseases.

Wang Jen-Chun JC   Chien Wu-Chien WC   Chu Pauling P   Chung Chi-Hsiang CH   Lin Chih-Yuan CY   Tsai Shih-Hung SH  

PloS one 20190213 2


<h4>Background</h4>Recent studies have indicated that several critical illnesses are associated with an increased risk of cardiovascular diseases (CVDs). Nonetheless, studies of the association between heat-related illnesses (HRIs) and subsequent CVDs are still limited. We sought to evaluate whether heat stroke (HS) was associated with an increased CVD incidence.<h4>Methods</h4>The data from the nationwide, population-based, retrospective, cohort study described herein were obtained from the Nat  ...[more]

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