Document Detail


Impact of severe earthquake on the occurrence of acute coronary syndrome and stroke in a rural area of Japan.
MedLine Citation:
PMID:  19436118     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although acute coronary syndrome (ACS) and stroke are known to increase after earthquake, few data exist regarding the effect of earthquake on these cardiovascular events in rural areas. METHODS AND RESULTS: The Noto Peninsula earthquake with a magnitude of 6.9 occurred at 9:45 a.m. on 25 March 2007. The first case of ACS occurred approximately 15 min later, whereas cerebral hemorrhage (CH) occurred 72 h after the onset of earthquake. During the 35 days after earthquake, among 49 patients who were attended by local ambulance, 5 patients with ACS (10.2%) and 8 with CH (16.3%) were documented and 4 died. The total number of both ACS and CH cases was greater than the averages for the same period of the past 3 years in this area (2.0 vs 5 and 2.3 vs 8, P<0.01). Interestingly, the most cases of ACS had occurred within 7 days after earthquake and for CH not until 35 days later. CONCLUSIONS: Even in rural areas a severe earthquake results in increased incidence of ACS and CH, which can occur at different times after the event, although the effects of other environmental factors should be further investigated.
Authors:
Masayuki Tsuchida; Masa-Aki Kawashiri; Ryota Teramoto; Mutsuko Takata; Kenji Sakata; Wataru Omi; Masaki Okajima; Masayuki Takamura; Hidekazu Ino; Yoshihito Kita; Tadayoshi Takegoshi; Hideo Inaba; Masakazu Yamagishi
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Publication Detail:
Type:  Journal Article     Date:  2009-05-13
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  73     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-26     Completed Date:  2009-09-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1243-7     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Takara-machi, Kanazawa, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / epidemiology*,  etiology*,  physiopathology
Aged
Aged, 80 and over
Blood Pressure / physiology
Coronary Angiography
Earthquakes*
Electrocardiography
Female
Heart Rate / physiology
Humans
Incidence
Japan / epidemiology
Male
Middle Aged
Risk Factors
Rural Population*
Stress, Psychological / complications*,  physiopathology,  psychology
Stroke / epidemiology*,  etiology*,  physiopathology
Comments/Corrections
Comment In:
Circ J. 2009 Jul;73(7):1195-6   [PMID:  19556698 ]

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