BACKGROUND

Adverse cardiovascular events have been linked with PM exposure obtained primarily from air quality monitors, which rarely co-locate with participant residences. Modeled PM predictions at finer resolution may more accurately predict residential exposure; however few studies have compared results across different exposure assessment methods.

METHODS

We utilized a cohort of 5679 patients who had undergone a cardiac catheterization between 2002-2009 and resided in NC. Exposure to PM for the year prior to catheterization was estimated using data from air quality monitors (AQS), Community Multiscale Air Quality (CMAQ) fused models at the census tract and 12km spatial resolutions, and satellite-based models at 10km and 1km resolutions. Case status was either a coronary artery disease (CAD) index >23 or a recent myocardial infarction (MI). Logistic regression was used to model odds of having CAD or an MI with each 1-unit (μg/m3) increase in PM, adjusting for sex, race, smoking status, socioeconomic status, and urban/rural status.

RESULTS

We found that the elevated odds for CAD>23 and MI were nearly equivalent for all exposure assessment methods. One difference was that data from AQS and the census tract CMAQ showed a rural/urban difference in relative risk, which was not apparent with the satellite or 12km-CMAQ models.

CONCLUSIONS

Long-term air pollution exposure was associated with coronary artery disease for both modeled and monitored data.