{
  "abstract": "AIM: To investigate the effects of temperature exposure on the incidence of cardiovascular and cerebrovascular diseases in Zhanjiang, a subtropical coastal city in China. METHODS: We analyzed hospitalization data from 2009 to 2023 using generalized additive models (GAMs) and distributed lag nonlinear models (DLNMs) to examine the exposure-response relationships and lagged effects of daily maximum temperature on stroke (CVA), acute coronary syndrome (ACS), and acute aortic syndrome (AAS). RESULTS: Distinct temperature-associated risk patterns were observed for each disease type. ACS showed the strongest association, with significant risk increases at 1-day (relative risk [RR] = 1.19) and 5-day lags (RR = 1.12). The risk of CVA was moderately elevated at lower temperatures (22.7℃; RR = 1.08), whereas AAS exhibited a delayed peak at 5 days (RR = 1.29). CONCLUSIONS: These subtropical patterns differ from those reported in temperate regions. Our findings support climate-specific warnings: namely, multi-day monitoring for CVA at lower temperatures, immediate and sustained alerts for ACS, and focused surveillance approximately 5 days after exposure for AAS.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 10,
  "authors": [
    {
      "name": "Shanshan Fan"
    },
    {
      "name": "Jilin Wang"
    },
    {
      "name": "Mingyi Tang"
    },
    {
      "name": "Juncheng Liu"
    },
    {
      "name": "Yinuo Shen"
    },
    {
      "name": "Yanyan Yang"
    },
    {
      "name": "Yufei Feng"
    },
    {
      "name": "Bohan Wang"
    },
    {
      "name": "Haoxin Chen"
    },
    {
      "name": "Wenxin Liu"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/erkyw5rvtg1a5.bib",
  "cited_by": 0,
  "doi": "10.5551/jat.66035",
  "fulltext_url": "https://www.jstage.jst.go.jp/article/jat/33/10/33_66035/_article",
  "id": "erkyw5rvtg1a5",
  "issns": [
    "1880-3873",
    "1340-3478"
  ],
  "landing_url": "https://www.jstage.jst.go.jp/article/jat/33/10/33_66035/_article",
  "language": null,
  "licence": "CC-BY-NC-SA",
  "licence_label": "CC BY-NC-SA",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "jstage-journal",
      "medicine/cardiovascular"
    ],
    [
      "openalex",
      "2307|Climate Change and Health Impacts"
    ]
  ],
  "openalex": "W7164920064",
  "pdf_url": "https://www.jstage.jst.go.jp/article/jat/advpub/0/advpub_66035/_pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/erkyw5rvtg1a5.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:22Z",
      "native_id": "10.5551/jat.66035",
      "source": "jstage",
      "url": "https://www.jstage.jst.go.jp/article/jat/33/10/33_66035/_article"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2307|Climate Change and Health Impacts",
      "subfield": "pharmacology-toxicology"
    }
  ],
  "title": "The Impact of Ambient Temperature on the Cardiovascular and Cerebrovascular Disease Incidence during 2009-2023 in Zhanjiang, Guangdong, China",
  "title_text": "The Impact of Ambient Temperature on the Cardiovascular and Cerebrovascular Disease Incidence during 2009-2023 in Zhanjiang, Guangdong, China",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:22Z",
  "url": "https://research.draconitic.com/paper/erkyw5rvtg1a5",
  "venue": "Journal of Atherosclerosis and Thrombosis",
  "versions": []
}