The Inverse Correlation Between the Duration of Lifetime Occupational Radiation Exposure and the Prevalence of Atrial Arrhythmia

Frontiers in Cardiovascular Medicine

Rakesh Gopinathannair¹  Brian Olshansky²  Steven Bailey³  Pavan Katikaneni³  Paari Dominic³  Ruchi Bhandari⁴  Sania Jiwani⁵  Catherine Vanchiere⁶  Marjan Boerma⁸  Surbhi Chamaria⁹  San Chu^1,10  Ronald Horswell^1,10  Rithika Thirumal^1,11 

[1] 0Department of Cardiology, Kansas City Heart Rhythm Institute, Overland Park, KS, United States;1Department of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA, United States;Center for Cardiovascular Diseases and Sciences, Louisiana State University Health Sciences Center, Shreveport, LA, United States;Department of Epidemiology and Biostatistics, West Virginia University, Morgantown, WV, United States;Department of Internal Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, United States;Department of Internal Medicine, Temple University, Philadelphia, PA, United States;Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, United States;Department of Pharmaceutical Sciences, University of Arkansas Medical Center, Little Rock, AK, United States;Mercy Hospital, Fort Smith, AK, United States;Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA, United States;School of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, United States;

关键词: atrial arrhythmia;    fluoroscopy;    radiation;    interventional cardiologists;    electrophysiologists;    invasive cardiology;   

DOI  :  10.3389/fcvm.2022.863939

来源: DOAJ

【 摘 要 】

ObjectiveAdvancements in fluoroscopy-assisted procedures have increased radiation exposure among cardiologists. Radiation has been linked to cardiovascular complications but its effect on cardiac rhythm, specifically, is underexplored.MethodsDemographic, social, occupational, and medical history information was collected from board-certified cardiologists via an electronic survey. Bivariate and multivariable logistic regression analyses were performed to assess the risk of atrial arrhythmias (AA).ResultsWe received 1,478 responses (8.8% response rate) from cardiologists, of whom 85.4% were male, and 66.1% were ≤65 years of age. Approximately 36% were interventional cardiologists and 16% were electrophysiologists. Cardiologists > 50 years of age, with > 10,000 hours (h) of radiation exposure, had a significantly lower prevalence of AA vs. those with ≤10,000 h (11.1% vs. 16.7%, p = 0.019). A multivariable logistic regression was performed and among cardiologists > 50 years of age, exposure to > 10,000 radiation hours was significantly associated with a lower likelihood of AA, after adjusting for age, sex, diabetes mellitus, hypertension, and obstructive sleep apnea (adjusted OR 0.57; 95% CI 0.38–0.85, p = 0.007). The traditional risk factors for AA (age, sex, hypertension, diabetes mellitus, and obstructive sleep apnea) correlated positively with AA in our data set. Cataracts, a well-established complication of radiation exposure, were more prevalent in those exposed to > 10,000 h of radiation vs. those exposed to ≤10,000 h of radiation, validating the dependent (AA) and independent variables (radiation exposure), respectively.ConclusionAA prevalence may be inversely associated with radiation exposure in Cardiologists based on self-reported data on diagnosis and radiation hours. Large-scale prospective studies are needed to validate these findings.

【 授权许可】

Unknown