Time of myocardial infarction was most commonly based on the time of symptom onset (n=58594, 74%), time of call for help (n=6887, 9%), or time of arrival at hospital (n=13144, 17%). Of the 79288 events, 70331 (89%) were confirmed by at least one recorded electrocardiogram (for ST elevation myocardial infarction) or raised troponin or creatine kinase levels.Table 1 Characteristics of myocardial infarctions and local levels of air pollutants in 15 conurbations in England and Wales. Values are medians (interquartile range) unless stated otherwiseTable 1 shows the median hourly pollution levels overall and within conurbations.

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