Saharan Dust Events in the Dust Belt -Canary Islands- and the Observed Association with in-Hospital Mortality of Patients with Heart Failure.

Recent studies have found increases in the cardiovascular mortality rates during poor air quality events due to outbreaks of desert dust. In Tenerife, we collected (2014-2017) data in 829 patients admitted with a heart failure diagnosis in the Emergency Department of the University Hospital of the Canaries. In this region, concentrations of PM and PM are usually low (~20 and 10 µg/m), but they increase to 360 and 115 μg/m, respectively, during Saharan dust events. By using statistical tools (including multivariable logistic regressions), we compared in-hospital mortality of patients with heart failure and exposure to PM and PM during dust and no-dust events. We found that 86% of in-hospital heart failure mortality cases occurred during Saharan dust episodes that resulted in PM > 50 µg/m (interquartile range: 71-96 µg/m). A multivariate analysis showed that, after adjusting for other covariates, exposure to Saharan dust events associated with PM > 50 µg/m was an independent predictor of heart failure in-hospital mortality (OR = 2.79, 95% CI (1.066-7.332), = 0.03). In conclusion, this study demonstrates that exposure to high Saharan dust concentrations is independently associated with in-hospital mortality in patients with heart failure.