Institute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Munich; Institute for Medical Information Processing, Biometry and Epidemiology, Ludwig-Maximilians-Universität München, Munich; Ludwig-Maximilians-Universität München, Chair of Epidemiology at UNIKA-T, University of Augsburg; Independent Research Group Clinical Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Munich; MONICA/KORA Myocardial Infarction Registry, University Hospital of Augsburg; KORA Study Center, University Hospital of Augsburg; Department of Internal Medicine I - Cardiology, University Hospital of Augsburg; Department of Internal Medicine/Cardiology, Nördlingen Hospital, Nördlingen; German Research Center for Cardiovascular Research (DZHK), Partner-Site Munich; The KORA-Study Group consists of A. Peters (spokesperson), H. Schulz, L. Schwettmann, R. Leidl, M. Heier, K. Strauch, and their co-workers, who are responsible for the design and conduct of the KORA studies.
Dtsch Arztebl Int. 2019 Aug 5;116(31-32):521-527. doi: 10.3238/arztebl.2019.0521.
Substantial efforts are required to limit global warming to under 2 °C, with 1.5 °C as the target (Paris Agreement goal). We set out to project future temperature-related myocardial infarction (MI) events in Augsburg, Germany, at increases in warming of 1.5 °C, 2 °C, and 3 °C.
Using daily time series of MI cases and temperature projections under two climate scenarios, we projected changes in temperature-related MIs at different increases in warming, assuming no changes in population structure or level of adaptation.
In a low-emission scenario that limits warming to below 2 °C throughout the 21st century, temperature-related MI cases will decrease slightly by -6 (confidence interval -60; 50) per decade at 1.5 °C of warming. In a high-emission scenario going beyond the Paris Agreement goals, temperature-related MI cases will increase by 18 (-64; 117) and 63 (-83; 257) per decade with warming of 2 °C and 3 °C, respectively.
The future burden of temperature-related MI events in Augsburg at 2 °C and 3 °C of warming will be greater than at 1.5 °C. Fulfilling the Paris Agreement goal of limiting global warming to no more than 1.5 °C is therefore essential to avoid additional MI events due to climate change.
为了将全球变暖限制在 2°C 以下,需要付出巨大努力,而 1.5°C 则是目标(《巴黎协定》目标)。我们旨在预测德国奥格斯堡未来因升温 1.5°C、2°C 和 3°C 而导致的与温度相关的心肌梗死(MI)事件。
使用 MI 病例和两种气候情景下的温度预测的每日时间序列,我们在假设人口结构或适应水平没有变化的情况下,预测了不同升温幅度下与温度相关的 MI 变化。
在限制整个 21 世纪升温低于 2°C 的低排放情景下,与温度相关的 MI 病例将在 1.5°C 的升温下每十年略有减少-6(置信区间-60;50)。在超出《巴黎协定》目标的高排放情景下,与温度相关的 MI 病例将分别增加 18(-64;117)和 63(-83;257),升温分别为 2°C 和 3°C。
奥格斯堡在升温 2°C 和 3°C 时与温度相关的 MI 事件的未来负担将大于 1.5°C。因此,为了避免因气候变化而导致额外的 MI 事件,履行《巴黎协定》将全球变暖限制在不超过 1.5°C 的目标至关重要。