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. 2021 Nov 23;21(1):563.
doi: 10.1186/s12872-021-02372-0.

A time-series prediction model of acute myocardial infarction in northern of Iran: the risk of climate change and religious mourning

Affiliations

A time-series prediction model of acute myocardial infarction in northern of Iran: the risk of climate change and religious mourning

Hamid Sharif Nia et al. BMC Cardiovasc Disord. .

Erratum in

Abstract

Background: Although various studies have been conducted on the effects of seasonal climate changes or emotional variables on the risk of AMI, many of them have limitations to determine the predictable model. The currents study is conducted to assess the effects of meteorological and emotional variables on the incidence and epidemiological occurrence of acute myocardial infarction (AMI) in Sari (capital of Mazandaran, Iran) during 2011-2018.

Methods: In this study, a time series analysis was used to determine the variation of variables over time. All series were seasonally adjusted and Poisson regression analysis was performed. In the analysis of meteorological data and emotional distress due to religious mourning events, the best results were obtained by autoregressive moving average (ARMA) (5,5) model.

Results: It was determined that average temperature, sunshine, and rain variables had a significant effect on death. A total of 2375 AMI's were enrolled. Average temperate (°C) and sunshine hours a day (h/day) had a statistically significant relationship with the number of AMI's (β = 0.011, P = 0.014). For every extra degree of temperature increase, the risk of AMI rose [OR = 1.011 (95%CI 1.00, 1.02)]. For every extra hour of sunshine, a day a statistically significant increase [OR = 1.02 (95% CI 1.01, 1.04)] in AMI risk occurred (β = 0.025, P = 0.001). Religious mourning events increase the risk of AMI 1.05 times more. The other independent variables have no significant effects on AMI's (P > 0.05).

Conclusion: Results demonstrate that sunshine hours and the average temperature had a significant effect on the risk of AMI. Moreover, emotional distress due to religious morning events increases AMI. More specific research on this topic is recommended.

Keywords: Acute myocardial infarction; Iran; Time series; Weather.

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Conflict of interest statement

The authors didn’t have any financial conflicts to declare with any persons or organizations regarding to this study.

Figures

Fig. 1
Fig. 1
ACF (a) ve PACF (b) figures
Fig. 2
Fig. 2
Residual’s ACF (a) and PACF (b) graphs

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