Department of Emergency Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.
Department of Family Medicine and Infectious Diseases, School of Medicine, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.
PLoS One. 2024 Jan 2;19(1):e0296412. doi: 10.1371/journal.pone.0296412. eCollection 2024.
Paroxysmal supraventricular tachycardia (PSVT) is a common arrhythmia in adults. Its occurrence depends on the presence of the reentry circuit and the trigger of the paroxysm. Stress, emotional factors, and comorbidities favour the occurrence of such an episode. We hypothesized that the occurrence of PSVT follows extreme thermal episodes. The retrospective analysis was based on the data collected from three hospital emergency departments in Poland (Olsztyn, Radom, and Wroclaw) involving 816 admissions for PSVT in the period of 2016-2021. To test the hypothesis, we applied the Universal Climate Thermal Index (UTCI) to objectively determine exposure to cold or heat stress. The risk (RR) for PSVT increased to 1.37 (p = 0.006) in cold stress and 1.24 (p = 0.05) in heat stress when compared to thermoneutral conditions. The likelihood of PSVT during cold/heat stress is higher in women (RR = 1.59, p< 0.001 and RR = 1.36, p = 0.024, respectively) than in men (RR = 0.64 at p = 0.088 and RR = 0.78, p = 0.083, respectively). The susceptibility for PSVT was even higher in all groups of women after exclusion of perimenopausal group of women, in thermal stress (RR = 1.74, p< 0.001, RR = 1.56, p = 0.029, respectively). Females, particularly at the perimenopausal stage and men irrespective of age were less likely to develop PSVT under thermal stress as compared to thermoneutral conditions. Progress in climate change requires searching for universal methods and tools to monitor relationships between humans and climate. Our paper confirms that the UTCI is the universal tool describing the impact of thermal stress on the human body and its high usefulness in medical researches.
阵发性室上性心动过速（PSVT）是成人常见的心律失常。其发生取决于折返环的存在和发作的触发因素。应激、情绪因素和合并症有利于此类发作的发生。我们假设 PSVT 的发生遵循极端热暴露事件。这项回顾性分析基于波兰三个医院急诊部（奥尔什丁、拉多姆和弗罗茨瓦夫）在 2016 年至 2021 年期间收集的 816 例 PSVT 住院患者的数据。为了验证这一假设，我们应用通用气候热指数（UTCI）客观地确定暴露于冷或热应激的情况。与温热条件相比，冷应激时 PSVT 的风险（RR）增加到 1.37（p = 0.006），热应激时增加到 1.24（p = 0.05）。与男性相比，女性在冷/热应激时发生 PSVT 的可能性更高（RR = 1.59，p < 0.001 和 RR = 1.36，p = 0.024）。排除围绝经期女性后，所有女性组在热应激时发生 PSVT 的易感性更高（RR = 1.74，p < 0.001，RR = 1.56，p = 0.029）。与温热条件相比，女性，尤其是围绝经期女性和无论年龄大小的男性，在热应激下发生 PSVT 的可能性较小。气候变化的进展要求寻找监测人类与气候之间关系的通用方法和工具。我们的论文证实，UTCI 是描述热应激对人体影响的通用工具，在医学研究中具有很高的实用性。
