Research Reports

This report contains two studies, by Drs. Annette Peters and Douglas Dockery. Dr. Peters and her colleagues evaluated the association between nonfatal myocardial infarction (MI) and exposure to particulate matter just prior to the event. She asked 691 patients in hospitals in Augsburg, Germany who survived an MI to provide hourly details about their activities 4 days before MI onset. The investigators used a case-crossover analysis to determine whether exposure to pollutants was associated with onset of MI. Dr. Dockery and colleagues assessed the correlation between short-term increases in ambient concentrations of particulate matter and the risk of possibly life-threatening arrhythmias in patients with implanted cardioverter defibrillators (ICDs). The investigators studied 195 patients from Boston, MA who had either single or dual-chamber ICD's and used logistic regression models to determine whether exposure to air pollutants was associated with arrhythmias.

Dr. Brunekreef and his colleagues assessed the correlation between personal, indoor, and outdoor PM_2.5 concentrations for elderly people with cardiovascular disease living in Amsterdam, The Netherlands, and Helsinki, Finland. Measurements were taken between November 1998 and June 1999 using fixed monitoring sites near the subjects' residences and inside their homes using the same type of monitor. Personal exposures were monitored with a different type of sampler that the subjects kept with them at all times.

Dr. Frampton and his colleagues evaluated the effects of exposing healthy and mildly asthmatic men and women to laboratory-generated ultrafine carbon particles. They hypothesized that ultrafine particle exposure would activate leukocytes and endothelial cells and lead to an inflammatory response in the airway and in the blood; and that it also might affect respiration and cardiac electrophysiologic function. They further hypothesized that effects would be greater in people with asthma than in healthy people.

Dr James Ultman and colleagues at Pennsylvania State University recruited 32 men and 28 women to examine differences in ozone uptake in the lung. The subjects (all non smokers) first took a series of single breaths of air–ozone mixtures, which allowed the investigators to examine how ozone was distributed in the airways and where the major fraction of ozone was taken up. In a follow-up test, the subjects pedaled a bicycle ergometer to produce conditions of moderate exercise for one hour while breathing clean air, followed by a third test while breathing ozone at 0.25 ppm).