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Prenatal earthquake stress exposure in different gestational trimesters is associated with methylation changes in the glucocorticoid receptor gene (NR3C1) and long-term working memory in adulthood. Transl Psychiatry 2022; 12:176. [PMID: 35487912 PMCID: PMC9054818 DOI: 10.1038/s41398-022-01945-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Accepted: 04/21/2022] [Indexed: 11/08/2022] Open
Abstract
Prenatal stress exposure is thought to affect the long-term development of the foetal brain via the HPA axis and to change health outcomes in adulthood, including working memory (WM). The potential mechanism is that there is a critical period of brain development of the foetus, which is a result of selective adaptation to the external environment. The human glucocorticoid gene (NR3C1) is associated with memory and cognition. This study investigates the association between earthquake stress during pregnancy and CpG methylation of the NR3C1 exon 1F promoter and its influence on working memory in adulthood. DNA methylation analysis using bisulfite sequencing PCR was quantified in 176 subjects who were exposed or not exposed to intrauterine earthquake and were divided into three groups based on the pregnancy trimester. The Hopkins Verbal Learning Test-Revised (HVLT-R) and Brief Visuospatial Memory Test-Revised (BVMT-R) were used to assess working memory performance. The methylated NR3C1 exon 1F promoter of the prenatal earthquake exposure (PEE) group was significantly higher than that of the control group (CN). Analysis of subgroups indicated that the subjects in the second trimester of PEE group showed significantly higher methylation than those in the third trimester. Significantly low BVMT-R scores were detected in those who experienced prenatal earthquake in the second trimester of PEE group. Methylated CpG site 1 may play a critical role in contributing to lower BVMT-R scores in the second trimester in the PEE group, and may offer a potential epigenetic mechanism that links prenatal stress and long-term effects on working memory.
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Babaie J, Pashaei Asl Y, Naghipour B, Faridaalaee G. Cardiovascular Diseases in Natural Disasters; a Systematic Review. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE 2021; 9:e36. [PMID: 34027431 PMCID: PMC8126350 DOI: 10.22037/aaem.v9i1.1208] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Introduction: As a result of destruction and lack of access to vital infrastructures and mental stress, disasters intensify cardiovascular diseases (CVDs) and hence management of CVDs becomes more challenging. The aim of this study is investigating incidence and prevalence of CVDs, morbidity and mortality of CVDs, treatment and management of CVDs at the time of natural disasters. Methods: In the present systematic review, the articles published in English language until 28. 11. 2020, which studied CVDs in natural disasters were included. The inclusion criteria were CVDs such as myocardial infarction (MI), acute coronary syndrome (ACS), hypertension (HTN), pulmonary edema, and heart failure (HF) in natural disasters such as earthquake, flood, storm, hurricane, cyclone, typhoon, and tornado. Result: The search led to accessing 4426 non-duplicate records. Finally, the data of 104 articles were included in quality appraisal. We managed to find 4, 21 and 79 full text articles, which considered cardiovascular diseases at the time of flood, storm, and earthquake, respectively. Conclusion: Prevalence of CVD increases after disasters. Lack of access to medication or lack of medication adjustment, losing home blood pressure monitor as a result of destruction and physical and mental stress after disasters are of the most significant challenges of controlling and managing CVDs. By means of quick establishment of health clinics, quick access to appropriate diagnosis and treatment, providing and access to medication, self-management, and self-care incentives along with appropriate medication and non-medication measures to control stress, we can better manage and control cardiovascular diseases, particularly hypertension.
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Affiliation(s)
- Javad Babaie
- Department of Health Policy& Management, Tabriz University of Medical Sciences, Tabriz, Iran.,Tabriz Health Services Management Research Center,Tabriz University of Medical Sciences, Tabriz, Iran.,Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Yousef Pashaei Asl
- Department of Health Policy& Management, Tabriz University of Medical Sciences, Tabriz, Iran.,Department of Health Services Management, School of Health Management and information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Bahman Naghipour
- Department of Anaesthesiology and Intensive Care, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Gholamreza Faridaalaee
- Emergency Medicine Research Team, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.,Department of Emergency Medicine, Maragheh University of Medical Sciences, Maragheh, Iran.,Disaster Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
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Li N, Song M, Wang L, Zhao XC, Wang R, Gao YY, Yu LL, An CX, Wang XY. Experiencing earthquake in the first trimester of the fetal life increases subsequent diabetes risk in the adulthood: a cross-sectional study. Reprod Biol Endocrinol 2020; 18:109. [PMID: 33167992 PMCID: PMC7654152 DOI: 10.1186/s12958-020-00664-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 10/26/2020] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE To investigate the long-term effect of prenatal exposure to earthquake stress on diabetes risk in the adulthood. METHODS This study included employees of Tangshan Kailuan Mining Group between July 29, 1976 and April 28, 1977. The exposure group included subjects who experienced the Tangshan Earthquake during their prenatal period and who had lived in Tangshan since birth. The non-exposure group included subjects who were born 1-1.9 years after the earthquake and who had lived in Tangshan since birth. A questionnaire was designed that included sociodemographic information, conditions during pregnancy, and earthquake experience. Anthropometric measurements including height and weight, body mass index (BMI), waist circumference were made. Fasting plasma glucose (FPG) and lipid profiles were also determined. RESULTS Totally 947 subjects were included with 397 subjects in the exposed group and 550 subjects in the non-exposed group. The diabetes rate is significant different in these four groups(χ2 =8.045, P = 0.045). Moreover, 11.8, 7.5 and 8.0% of the subjects who were exposed to earthquake in the 1st, 2nd, and 3rd trimester of pregnancy had diabetes. 5.1% of the subjects had diabetes in non-exposure group. Our multivariate analysis showed that 1st trimester (OR 2.481, 95%CI 1.02, 6.034; P = 0.045) and loss of family members during earthquake (OR 2.452, 95%CI 1.293, 4.653; P = 0.006) were associated with significantly increased risk of diabetes. CONCLUSIONS Exposure to earthquake during the first trimester of pregnancy and experience of family member loss in the earthquake significantly increased the subsequent risk of diabetes in the middle age (36-39 years of age). Our data suggest that earthquake experience in the early pregnancy has a longer-term effect on diabetes risk during adulthood.
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Affiliation(s)
- Na Li
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Mei Song
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Lan Wang
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Xiao-Chuan Zhao
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Ran Wang
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Yuan-Yuan Gao
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Lu-Lu Yu
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Cui-Xia An
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China.
| | - Xue-Yi Wang
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China.
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Li N, Yu LL, Zhao XC, Song M, Wang L, Gao YY, Lu WT, Wang XY, Wang YM. Perinatal exposure to earthquake stress increases the risks of hypertension and diabetes in subsequent adult life: A cross-sectional study. J Clin Hypertens (Greenwich) 2020; 22:2354-2360. [PMID: 33125831 DOI: 10.1111/jch.14083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 09/28/2020] [Accepted: 10/04/2020] [Indexed: 11/30/2022]
Abstract
The objective of the current study was to determine whether exposure to earthquake stress during pregnancy and infancy impacted on the risk of chronic adult health problems. All subjects were divided into three groups: the infant exposure group, the fetus exposure group, and the non-exposure group. All subjects completed a standardized interview that included questions on demographic information, traumatic experiences during the earthquake, Anthropomorphic parameters such as body height, weight, and blood pressure were measured. Traumatic events in childhood and adulthood were assessed by the Childhood Trauma Questionnaire (CTQ) and Life Event Scale (LES), respectively. Totally1325 subjects were included; 399 subjects experienced the earthquake as fetuses, 374 subjects who experienced the earthquake as infants and 552 subjects did not experience the earthquake. The three groups were comparable in sociodemographic and baseline characteristics except age (Infant exposure vs Prenatal exposure vs No exposure = 39.5 ± 0.6 vs 38.5 ± 0.8 vs 37.5 ± 0.9, p < .001). Fetal and infant exposure to earthquakes was associated with elevated systolic blood pressure (both were + 3 mm Hg, p < .001). After adjustment for covariates, earthquake exposure in infants (odds ratio [OR] = 2.010, 95% confidence interval [CI] = 1.216 ~ 3.322) and fetuses (OR = 1.509, 95% CI = 1.014 ~ 2.248) was a significant and independent risk factor for hypertension. Earthquake expose in fetuses was a significant and independent risk factor for diabetes (OR = 2.307, 95% CI = 1.136 ~ 4.686). Earthquake exposure in infants and fetuses is a significant and independent risk factor for hypertension. Earthquake exposure in fetuses is significant and independent risk factor for diabetes.
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Affiliation(s)
- Na Li
- Department of Psychiatry, The First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Lu-Lu Yu
- Department of Psychiatry, The First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Xiao-Chuan Zhao
- Department of Psychiatry, The First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Mei Song
- Department of Psychiatry, The First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Lan Wang
- Department of Psychiatry, The First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Yuan-Yuan Gao
- Department of Psychiatry, The First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Wen-Ting Lu
- Department of Psychiatry, The First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Xue-Yi Wang
- Department of Psychiatry, The First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Yu-Mei Wang
- Department of Psychiatry, The First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
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Birgisdóttir KH, Hauksdóttir A, Ruhm C, Valdimarsdóttir UA, Ásgeirsdóttir TL. The effect of the economic collapse in Iceland on the probability of cardiovascular events. ECONOMICS AND HUMAN BIOLOGY 2020; 37:100861. [PMID: 32106017 DOI: 10.1016/j.ehb.2020.100861] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Revised: 02/03/2020] [Accepted: 02/03/2020] [Indexed: 06/10/2023]
Abstract
After several years of a booming economy in Iceland, the economic bubble burst in 2008 and affected most Icelanders in one way or another. We explore whether the economic collapse in 2008 and subsequent economic crisis affected the probability of ischemic heart disease (IHD) events, independent of regular cyclical effects that can be attributed to typical economic conditions. Moreover, we conduct a mediation analysis to study the potential mechanisms through which the relationship between the economic collapse and cardiovascular health travels. We estimate linear probability models using administrative data on IHD events, earnings and balance-sheet status, as well as unemployment for all Icelanders aged 16 and older in 2000-2014. We find that the sharp change in economic conditions in 2008 increased the probability of cardiovascular events in both males and females in the long term. In absolute terms, these effects were small in magnitude but often statistically significant, amounting to approximately 13-16 extra cases of IHD events in each of the two years following the collapse for males and 3-5 addition cases for females. Moreover, they contrast with the finding that general business-cycle fluctuations operated in the opposite direction. Several potential mediators were correlated with the probability of IHD events, but their inclusion had little impact on the estimated effects of the economic crisis. A statistically significant business-cycle effect is found for both genders indicating that in general, harder economic times are beneficial for heart health. Thus, the general business cycle and the economic collapse in 2008 and subsequent crisis can be thought of as separate phenomena with differing effects on IHD.
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Affiliation(s)
- Kristín Helga Birgisdóttir
- Faculty of Economics, University of Iceland, Reykjavik, Iceland, Oddi v/Sturlugötu, 101 Reykjavík, Iceland.
| | - Arna Hauksdóttir
- Faculty of Medicine, Center of Public Health Sciences, School of Health Sciences, University of Iceland, Reykjavik, Iceland
| | - Christopher Ruhm
- Frank Batten School of Leadership and Public Policy, University of Virginia, VA, USA
| | - Unnur Anna Valdimarsdóttir
- Faculty of Medicine, Center of Public Health Sciences, School of Health Sciences, University of Iceland, Reykjavik, Iceland; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm Sweden; Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA
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Gao X, Leng Y, Guo Y, Yang J, Cui Q, Geng B, Hu H, Zhou Y. Association between earthquake experience and depression 37 years after the Tangshan earthquake: a cross-sectional study. BMJ Open 2019; 9:e026110. [PMID: 31434762 PMCID: PMC6707697 DOI: 10.1136/bmjopen-2018-026110] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVE To investigate the association between the Tangshan earthquake and depression after 37 years. DESIGN AND SETTING A cross-sectional study conducted in Tangshan from 2013 to 2014. PARTICIPANTS The sample included 5024 participants born before 28 July 1976 the date of the Tangshan earthquake, with available data on their earthquake experiences and depression 37 years post-earthquake. OUTCOMES AND VARIABLES The outcome was depression measured using the Center for Epidemiological Study and Depression Scale. The independent variable was earthquake experience, which was classified into three groups: no earthquake experience, earthquake experience without bereavement and earthquake experience with bereavement. Multivariable logistic regression analysis was used to evaluate the association between earthquake experience and depression after adjusting for gender, age at the time of the earthquake, smoking status, drinking status, education, income, residence in Tangshan 1 to 2 years post-earthquake, hypertension, diabetes and dyslipidaemia. RESULTS Of the 5024 participants, 641 experienced the Tangshan earthquake, and 98 experienced bereavement due to the earthquake. 37 years after the earthquake, survivors who had lost relatives during the earthquake were nearly three times (OR 2.82, 95% CI 1.24 to 6.39) as likely to have depression as those who had not experienced the earthquake, while those who had not lost relatives were 1.69 times as likely (OR 1.69, 95% CI 0.93 to 3.08). Stratified analyses showed that earthquake was significantly associated with depression in women with (OR 3.51, 95% CI 1.21 to 10.16) or without bereavement (OR 3.07, 95% CI 1.44 to 6.56) but not in men; this association was also significant in individuals over 18 years old at the time of the earthquake with (OR 13.16, 95% CI 3.08 to 56.3) or without bereavement (OR 3.39, 95% CI 1.31 to 8.87) but not in individuals less than 18 years old. CONCLUSIONS 37 years after the Tangshan earthquake, earthquake experience was associated with depression among bereaved survivors, women and individuals over 18 years old at the time of the earthquake.
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Affiliation(s)
- Xing Gao
- Institute of Medical Information, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Yue Leng
- Global Brain Health Institute, Department of Psychiatry, University of California, San Francisco, California, USA
| | - Yuchen Guo
- Institute of Medical Information, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Jichun Yang
- Department of Physiology and Pathophysiology, School of Basic Medical Sciences Key Laboratory of Molecular Cardiovascular Science of the Ministry of Education Center for Non-coding RNA Medicine, Peking University Health Science Center, Beijing, China
| | - Qinghua Cui
- Department of Physiology and Pathophysiology, School of Basic Medical Sciences Key Laboratory of Molecular Cardiovascular Science of the Ministry of Education Center for Non-coding RNA Medicine, Peking University Health Science Center, Beijing, China
| | - Bin Geng
- Hypertension Center, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, Beijing, China
| | - Hongpu Hu
- Institute of Medical Information, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Yong Zhou
- Sanbo Brain Institute, Sanbo Brain Hospital, Capital Medical University, Beijing, China
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Song M, Wang L, Zhao XC, Li N, Wang R, Gao YY, Yu LL, An CX, Wang XY. The prevalence and risk of DSM-IV axis I disorder in adults with early-life earthquake stress: A cross-sectional study. Int J Dev Neurosci 2019; 76:65-71. [PMID: 31229525 DOI: 10.1016/j.ijdevneu.2019.06.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 05/22/2019] [Accepted: 06/18/2019] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES Tangshan earthquake which had a magnitude of 7.8 killed approximately 250,000 people in China in 1976. In the present study, we sought to determine the prevalence and risks of mental disorders in adults who experienced earthquake as an infant or in the prenatal period. METHODS This cross-sectional cohort study recruited participants based on the urban resident registry of Tangshan, Hebei province, 2013 using a multistage stratified cluster sampling method with selection probabilities proportional to size. We recruited subjects who were born between July 29, 1975 and April 28, 1978 that was one year before and 1.9 years after the occurrence of Tangshan Earthquake, respectively. Current psychiatric diagnoses and lifetime psychiatric diagnoses were obtained through the Structured Clinical Interview for DSM-IV Axis I Disorders Patient Research Version. Unconditional logistic regression analysis was performed to analyze risk factors of mental disorders. RESULTS Totally1380 subjects were included with 392 subjects exposed to the earthquake in the fetal period, 399 subjects who experienced the earthquake during their infancy, and 589 subjects who had no exposure to the earthquake. Twenty-one (2.7%; current 1.9%) subjects exposed to earthquake were diagnosed with major depressive disorderversus 2.3% (current 1.5%) in the non-exposure group. Five (0.6%; current 0.6%) subjects with exposure to earthquake had bipolar disorder versus 0.9% in the non-exposure group.Thirteen (1.6%; current 1.6%) subjects with exposure to earthquake had schizophreniaversus 0.2% in the non-exposure group (P=0.006). Furthermore, 5.2% (current 3.7%) subjects with exposure to earthquake had anxiety disorders versus 5.7% (current 3.9%) in the non-exposure group. Moreover, 8.1% (current 7.0%)subjects with exposure to earthquake had alcohol use disorders versus 7.1% (current 5.3%) in the non-exposure group. Furthermore, the prevalence of schizophrenia of the prenatal exposure group (2.3%) was significantly higher than the other two groups (χ2 = 10.273, P = 0.006); however, no statistically significant difference was found in the current and lifetime prevalence of other DSM-IV axis I disorders among the three groups (P > 0.05). Our multivariate regression analysis showed that prenatal earthquake stress exposure was not a significant risk of any of the lifetime or current DSD-IV axis I disorders. CONCLUSION Adults who were exposed to earthquake in the prenatal period had a significantly higher rate of schizophrenia than those who were not exposed or who experienced earthquake in their infancy. No statistically significant difference was found in the current and lifetime prevalence of other DSM-IV axis I disorders between those exposed and those not exposed to earthquake. Furthermore, prenatal earthquake stress exposure was not a significant risk of any of the lifetime or current DSD-IV axis I disorders.
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Affiliation(s)
- Mei Song
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Lan Wang
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Xiao-Chuan Zhao
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Na Li
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Ran Wang
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Yuan-Yuan Gao
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Lu-Lu Yu
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Cui-Xia An
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Xue-Yi Wang
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
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Bazoukis G, Tse G, Naka KK, Kalfakakou V, Vlachos K, Saplaouras A, Letsas KP, Korantzopoulos P, Thomopoulos C, Michelongona P, Bazoukis X, González-Salvado V, Liu T, Michalis LK, Baranchuk A, Itoh T, Efremidis M, Tsioufis C, Stavrakis S. Impact of major earthquakes on the incidence of acute coronary syndromes - A systematic review of the literature. Hellenic J Cardiol 2018; 59:262-267. [PMID: 29807192 DOI: 10.1016/j.hjc.2018.05.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Revised: 05/11/2018] [Accepted: 05/18/2018] [Indexed: 01/13/2023] Open
Abstract
Natural disasters such as tsunami, hurricanes, and earthquakes may have a negative impact on cardiac health. The aim of our systematic review is to evaluate the impact of earthquakes on the incidence of acute coronary syndromes and cardiac mortality and to examine the impact of the time of earthquakes on the incidence of acute coronary syndromes. MEDLINE and Cochrane databases were searched for studies assessing the impact of earthquakes on acute coronary syndromes from inception until December 20, 2017. Reference lists of all included studies and relevant review studies were also searched. A total of 26 studies on 12 earthquake disasters were included in the systematic review. The existing data show a significant negative impact of the Great East Japan, Christchurch, Niigata-Chuetsu, Northridge, Great Hanshin-Awaji, Sichuan, Athens, Armenia, and Noto Peninsula earthquakes on the incidence of acute coronary syndromes. By contrast, studies on the Newcastle, Loma Prieta, and Thessaloniki earthquakes did not show a significant correlation with myocardial infarction and cardiac mortality. In conclusion, earthquakes may be associated with increased incidence of acute coronary syndromes and cardiovascular mortality. There are conflicting data about the impact of the timing of earthquakes on the occurrence of acute coronary syndromes. Preventive measures to promote the adjustment of healthcare systems to treat cardiovascular diseases after natural disasters should be immediately implemented particularly in high-risk regions.
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Affiliation(s)
- George Bazoukis
- Second Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece.
| | - Gary Tse
- Department of Medicine and Therapeutics, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, China; Li Ka Shing Institute of Health Sciences, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, China.
| | - Katerina K Naka
- Second Department of Cardiology, University of Ioannina, School of Medicine, Ioannina, Greece
| | - Vasiliki Kalfakakou
- Laboratory of Physiology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Konstantinos Vlachos
- Second Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece
| | - Athanasios Saplaouras
- Second Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece
| | - Konstantinos P Letsas
- Second Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece
| | | | | | | | - Xenophon Bazoukis
- Department of Cardiology, 'G. Hatzikosta' General Hospital, Ioannina, Greece
| | - Violeta González-Salvado
- Cardiology Department, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Institute of Health Research of Santiago (IDIS), Spain
| | - Tong Liu
- Department of Cardiology, Tianjin Institute of Cardiology, Second Hospital of Tianjin Medical University, People's Republic of China
| | - Lampros K Michalis
- Second Department of Cardiology, University of Ioannina, School of Medicine, Ioannina, Greece
| | - Adrian Baranchuk
- Division of Cardiology, Electrophysiology and Pacing, Queen's University, Kingston General Hospital, Kingston, Ontario, Canada.
| | - Tomonori Itoh
- Department of Internal Medicine, Iwate Medical University, Uchimaru, Morioka, 020-8505, Japan
| | - Michael Efremidis
- Second Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece
| | - Costas Tsioufis
- First Cardiology Clinic, Hippokration Hospital, University of Athens, 114 Vas.Sofias Ave., 11527, Athens, Greece
| | - Stavros Stavrakis
- University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
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