@article {4963,
	title = {Acute coronary syndromes related to bio-climate in a Mediterranean area. The case of Ierapetra, Crete Island, Greece},
	journal = {International Journal of Environmental Health Research},
	volume = {23},
	year = {2013},
	note = {Cited By :2Export Date: 2 November 2015CODEN: IJERECorrespondence Address: Nastos, P.T.; Laboratory of Climatology and Atmospheric Environment, Faculty of Geology and Geoenvironment, University of Athens, Panepistimiopolis, 157 84, Athens, Greece; email: nastos@geol.uoa.grReferences: (2012) Heart Disease and Stroke Statistics - 2012 Update, , American Heart Association. Circulation. 125:e2-e220 (published online before print December 15, 2011, 10.1161/CIR.0b013e31823ac046);Barnett, A.G., Dobson, A.J., McElduff, P., Salomaa, V., Kuulasmaa, K., Sans, S., Cold periods and coronary events: An analysis of populations worldwide (2005) Journal of Epidemiology and Community Health, 59 (7), pp. 551-557. , DOI 10.1136/jech.2004.028514; 
Bartzokas, A., Kassomenos, P., Petrakis, M., Celessides, C., The effect of meteorological and pollution parameters on the frequency of hospital admissions for cardiovascular and respiratory problems in Athens (2004) Indoor and Built Environment, 13 (4), pp. 271-275. , DOI 10.1177/1420326X04036923; 
Burch, G.E., Ansari, A., Climatic factors in ischemic heart disease (1969) South Med J, 62, pp. 579-582; 
Burch, G.E., Giles, T.D., The burden of a hot and humid environment on the heart (1970) Mod Concepts Cardiovasc Dis, 39, pp. 115-120; 
Colwell, R.R., Epstein, P.R., Cubler, D., Maynard, N., McMichael, A.J., Patz, J.A., Climate change and human health (1998) Science, 279 (5353), pp. 968-969; 
Donaldson, G.C., Keatinge, W.R., Early increases in ischaemic heart disease mortality dissociated from and later changes associated with respiratory mortality after cold weather in south east England (1997) Journal of Epidemiology and Community Health, 51 (6), pp. 643-648; 
Donaldson, G.C., Keatinge, W.R., Nayha, S., Changes in summer temperature and heat-related mortality since 1971 in North Carolina, South Finland, and Southeast England (2003) Environmental Research, 91 (1), pp. 1-7. , DOI 10.1016/S0013-9351(02)00002-6, PII S0013935102000026; 
Cold exposure and winter mortality from ischaemic heart disease, cerebrovascular disease, respiratory disease, and all causes in warm and cold regions of Europe (1997) Lancet, 349, pp. 1341-1346. , Eurowinter; 
Fish, P.D., Bennett, G.C.J., Millard, P.H., Heatwave morbidity and mortality in old age (1985) Age and Ageing, 14 (4), pp. 243-245; 
Glantz, S.A., Heart disease and the environment (1993) Journal of the American College of Cardiology, 21 (6), pp. 1473-1474; 
Ruscone, T.G., Crosignani, P., Micheletti, T., Meteorological influences on myocardial infarction in the metropolitan area of Milan (1985) International Journal of Cardiology, 9 (1), pp. 75-80. , DOI 10.1016/0167-5273(85)90405-X; 
Gosling, S.N., Lowe, J.A., McGregor, G.R., Pelling, M., Malamud, B.D., Associations between elevated atmospheric temperature and human mortality: A critical review of the literature (2009) Climatic Change, 92 (34), pp. 299-341; 
Grigoropoulos, K.N., Nastos, P.T., Feredinos, G., Spatial distribution of PM1 and PM10 during Saharan dust episodes in Athens, Greece (2009) Adv Sci Res, 3, pp. 59-62; 
Hajat, S., Kovats, R.S., Atkinson, R.W., Haines, A., Impact of hot temperatures on death in London: A time series approach (2002) Journal of Epidemiology and Community Health, 56 (5), pp. 367-372. , DOI 10.1136/jech.56.5.367; 
Hppe, P.R., The physiological equivalent temperature - A universal index for the biometeorological assessment of the thermal environment (1999) Int J Biometeorol, 43, pp. 71-75; 
Solomon, S., Qin, D., Manning, M., Chen, Z., Marquis, M., Averyt, K.B., Tignor, M., Miller, H.L., (2007) Climate Change 2007: The Physical Science Basis, 996p. , IPCC. Contribution of Working Group I to the fourth assessment report of the intergovernmental panel on climate change, Cambridge, UK: Cambridge University Press; 
Keatinge, W.R., Donaldson, G.C., The impact of global warming on health and mortality (2004) Southern Medical Journal, 97 (11), pp. 1093-1099. , DOI 10.1097/01.SMJ.0000144635.07975.66; 
Keatinge, W.R., Donaldson, G.C., Cordiolo, E., Martinelli, M., Kunst, A.E., MacKenback, J.P., Nayha, S., Vuori, I., Heat related mortality in warm and cold regions of Europe: Observational study (2000) Brit Med J, 321, pp. 670-673; 
Koppe, C., Jendritzky, G., Inclusion of short-term adaptation to thermal stresses in a heat load warning procedure (2005) Meteorol Z, 14, pp. 271-278; 
Ku, C.S., Yang, C.Y., Lee, W.J., Chiang, H.T., Liu, C.P., Lin, S.L., Absence of a seasonal variation in myocardial infarction onset in a region without temperatures extremes (1998) Cardiology, 89, pp. 277-282; 
La Tarte, A., Medina, S., Samoli, E., Forsberg, B., Michelozzi, P., Boumghar, A., Vonk, J.M., Ayres, J.G., Short-term effects of particulate air pollution on cardiovascular diseases in eight European cities (2002) J Epidemiol Community Health, 56, pp. 773-779; 
(1996) NEWSLETTERS No. 18. WHO Collaborating Centre for Air Quality Management and Air Pollution Control, pp. 7-10. , Another kind of environmental stress: thermal stress; 
Matzarakis, A., Mayer, H., Iziomon, M.G., Applications of a universal thermal index: Physiological equivalent temperature (1999) International Journal of Biometeorology, 43 (2), pp. 76-84; 
Matzarakis, A., Rutz, F., Mayer, H., Modelling radiation fluxes in simple and complex environments - Basics of the RayMan model (2010) Int J Biometeorol, 54, pp. 131-139; 
Mayer, H., Hppe, P., Thermal comfort of man in different urban environments (1987) Theor Appl Climatol, 38, pp. 43-49; 
McGregor, G.R., Winter ischaemic heart disease deaths in Birmingham, United Kingdom: A synoptic climatological analysis (1999) Climate Research, 13 (1), pp. 17-31; 
McGregor, G.R., The meteorological sensitivity of ischaemic heart disease mortality events in Birmingham, UK (2001) International Journal of Biometeorology, 45 (3), pp. 133-142. , DOI 10.1007/s004840100094; 
McGullagh, P., Nelder, J.A., (1997) Generalized Linear Models, , 2nd ed, London: Chapman \& Hall; 
Morabito, M., Modesti, P.A., Cecchi, L., Crisci, A., Orlandini, S., Maracchi, G., Gensini, G.F., Relationships between weather and myocardial infarction: A biometeorological approach (2005) International Journal of Cardiology, 105 (3), pp. 288-293. , DOI 10.1016/j.ijcard.2004.12.047, PII S0167527305002950; 
Muthers, S., Matzarakis, A., Koch, E., Climate change and mortality in Vienna - A human biometeorological analysis based on regional climate modeling (2010) Int J Environ Res Public Health, 7 (7), pp. 2965-2977; 
Nastos, P.T., Matzarakis, A., Weather impacts on respiratory infections in Athens, Greece (2006) International Journal of Biometeorology, 50 (6), pp. 358-369. , DOI 10.1007/s00484-006-0031-1; 
Nastos, P.T., Paliatsos, A.G., Papadopoulos, M., Bakoula, C., Priftis, K.N., The effect of weather variability on pediatric asthma admissions in Athens, Greece (2008) Journal of Asthma, 45 (1), pp. 59-65. , DOI 10.1080/02770900701815818, PII 790483080; 
Panagiotakos, D.B., Chrysohoou, C., Pitsavos, C., Nastos, P., Anadiotis, A., Tentolouris, C., Stefanadis, C., Paliatsos, A., Climatological variations in daily hospital admissions for acute coronary syndromes (2004) International Journal of Cardiology, 94 (2-3), pp. 229-233. , DOI 10.1016/j.ijcard.2003.04.050, PII S0167527303004108; 
Pattenden, S., Nikiforov, B., Armstrong, B.G., Mortality and temperature in Sofia and London (2003) Journal of Epidemiology and Community Health, 57 (8), pp. 628-633. , DOI 10.1136/jech.57.8.628; 
Report on excess mortality in Europe during summer 2003 [Internet] (2007) EU Community Action Programme for Public Health, , http://ec.europa.eu/health/ph_projects/2005/action1/docs/ action1_2005_a2_15_en.pdf, Grant Agreement 2005114; [cited 2011 Jul 20]; 
Rooney, C., McMichael, A.J., Kovats, R.S., Coleman, M.P., Excess mortality in England and Wales, and in Greater London, during the 1995 heatwave (1998) Journal of Epidemiology and Community Health, 52 (8), pp. 482-486; 
Schwartz, J., Samet, J.M., Patz, J.A., Hospital admissions for heart disease: The effects of temperature and humidity (2004) Epidemiology, 15 (6), pp. 755-761. , DOI 10.1097/01.ede.0000134875.15919.0f; 
Shao, L., Luo, M., Walker, R., Liu, X., Hwang, S., Robert, C., Impact of hot weather conditions on respiratory and cardiovascular hospital admissions in New York City, USA (2008) Epidemiology, 19 (6), pp. 302-303; 
Tromp, S.W., Meteorological effects on basic physiological systems (1974) Prog Biometeorol, 1 (1 A), pp. 239-260. , 637-42; 
Tromp, S.W., Cardiovascular diseases (1980) Biometeorology: The Impact of the Weather and Climate on Humans and Their Environment, pp. 158-161. , In, Edited by: Tromp, SW. London, UK: Heyden; 
(1998) Methods for the Human-biometeorological Assessment of Climate and Air Hygiene for Urban and Regional Planningpart I: Climate, , VDI. VDI guideline 3787 Beuth, Berlin; 
Vencloviene, J., Grazuleviciene, R., Babarskiene, R., Dedele, A., Grazulevicius, T., Short-term nitrogen dioxide exposure and geomagnetic activity interaction: Contribution to emergency hospitalization for acute coronary syndrome (2011) Int J Environ Health Res, 21 (3), pp. 149-160; 
Wichmann, H.E., Mueller, W., Allhoff, P., Beckmann, M., Bocter, N., Csicsaky, M.J., Jung, M., Schoeneberg, G., Health effects during a smog episode in West Germany in 1985 (1989) Environmental Health Perspectives, 79, pp. 89-99
},
	month = {2013},
	pages = {76 - 90},
	abstract = {The occurrence of non-fatal acute coronary syndromes (ACS) is examined in relation with the local bioclimatic conditions in the Ierapetra area, in the southernmost part of Crete Island, Greece, during the period 2004-2007. Daily ACS counts and corresponding meteorological parameters, such as maximum and minimum air temperature, relative humidity, wind speed and cloudiness, were analyzed. Besides, the daily values of the human thermal index, physiologically equivalent temperature (PET) was evaluated. Pearson{\textquoteright}s 2 test and generalized linear models (GLM) with Poisson distribution were applied. The ACS syndromes present a multiple variation within the year, with the primary maximum in August and the secondary in May, while relative high ACS frequencies exist in early winter time. The impact of the weather variability on the ACS incidence is not statistically significant (C.L. 95\%). {\textcopyright} 2013 Copyright Taylor and Francis Group, LLC.},
	keywords = {acute coronary syndrome, Acute coronary syndromes, acute heart infarction, Adult, Aegean Islands, Aged, Aged, 80 and over, air temperature, Angina, Unstable, article, Bioclimatic conditions, bioclimatology, Chi-Square Distribution, Child, Climate, Climate change, cloud, Cloud cover, Crete, Crete Island, Female, frequency analysis, Generalized Linear Models, Greece, human, Humans, humidity, Ierapetra, Incidence, Linear Models, linearity, major clinical study, Male, meteorological phenomena, Meteorology, Middle Aged, Myocardial Infarction, numerical model, Poisson distribution, Relative humidity, seasonal variation, Seasons, Southern Europe, temperature, unstable angina pectoris, velocity, Weather, wind, wind velocity, winter},
	isbn = {09603123 (ISSN)},
	url = {http://www.scopus.com/inward/record.url?eid=2-s2.0-84870582771\&partnerID=40\&md5=7dc3497178a56b8b75f66e04cfefcad3},
	author = {Nastos, P. T. and Giaouzaki, K. N. and Kampanis, N. A. and Matzarakis, A.}
}
