Sustained Increase in the Incidence of Acute Decompensated Heart Failure After the 2011 Japan Earthquake and Tsunami

Nakamura, Motoyuki; Tanaka, Fumitaka; Komi, Ryousuke; Tanaka, Kentarou; Onodera, Masayuki; Kawakami, Mikio; Koeda, Yorihiko; Sakai, Toshiaki; Tanno, Kozo; Onoda, Toshiyuki; Y, Matsura; Kubo, Takashi

doi:10.1016/j.amjcard.2016.07.055

Cited by 12 publications

(8 citation statements)

References 27 publications

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“…Although the SIR decreased temporarily to 1.25 in the year after the earthquake (2012), the 2013 and 2014 SIRs were 1.38 and 1.55, respectively, with a prolonged increase in the number of acute decompensated heart failure cases. 19 Moreover, a similar trend was observed in patients with acute myocardial infarction. 11 However, a different trend in the course of TTS was observed in this study.…”

Section: Differences In the Incidence Of Tts And Other Acute Cardiac Diseases After The Gej-e Disastersupporting

confidence: 62%

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Impact of the Great East Japan Earthquake and Tsunami on the Incidence of Takotsubo Syndrome Using a Multicenter, Long-Term Regional Registry

Itoh

Toda

Yoshizawa

et al. 2021

Circ J

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akotsubo syndrome (TTS) is a disorder known to be triggered by several stresses. [1][2][3][4][5] The stresses that have been associated with TTS can be primarily divided into 2 categories: physical stress or mental stress. Natural disasters can be a type of mental stress and are known to trigger the onset of TTS. 6-8 The Great East Japan earthquake (GEJ-E) disaster and massive tsunami, which occurred at 14:46 hours on March 11, 2011, was a magnitude 9.0 earthquake with an epicenter off the coast of Sanriku. The maximum seismic intensity of the earthquake was 7 in Kurihara, Miyagi Prefecture, and the tsunami reached up to ≥9.3 m in Soma, Miyagi Prefecture. A total of 19,630 people died, 2,569 were recorded as missing, 6,230 were injured, and 115,8976 homes were damaged on March 1, 2018. The earthquake has been reported as having a large impact on the development and treatment of various cardiovascular diseases. 9-17 At first, the GEJ-E disaster was also thought to have increased the number of cases of TTS, but a short-term report from Miyagi Prefecture in 2013 indicated that there was no obvious increase. 18 Even nearly 10 years after the disaster, people are still living in temporary housing, and there are concerns that the effects of the disaster may have led to chronic stress. A previous study reported that the incidence of acute heart failure was increased for a long time after the GEJ-E disaster. 19 However, no studies have compared the incidence of TTS in coastal and inland areas and the long-term course of TTS after the GEJ-E disaster.This study aimed to investigate (1) the incidence and Editorial p ????

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Section: Differences In the Incidence Of Tts And Other Acute Cardiac Diseases After The Gej-e Disastersupporting

confidence: 62%

“…A previous study reported that the incidence of acute heart failure was increased for a long time after the GEJ-E disaster. 19 However, no studies have compared the incidence of TTS in coastal and inland areas and the long-term course of TTS after the GEJ-E disaster.This study aimed to investigate (1) the incidence and Editorial p ??? ?…”

mentioning

confidence: 99%

Impact of the Great East Japan Earthquake and Tsunami on the Incidence of Takotsubo Syndrome Using a Multicenter, Long-Term Regional Registry

Itoh

Toda

Yoshizawa

et al. 2021

Circ J

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“…After the 1995 Hanshin earthquake, there was an increased incidence of patients with deep negative T waves, also associated with accelerated loss of 123 I-MIBG-derived radioactivity [ 196 ]. After the 2011 East Japanese earthquake/tsunami there was an increased incidence of acute decompensated heart failure in the affected geographic region [ 127 ]. The frequency of atrial fibrillation was also increased [ 126 ].…”

Section: The Eas and Biomarkers Of Risk With Applications To Covid-1mentioning

confidence: 99%

The extended autonomic system, dyshomeostasis, and COVID-19

2020

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The pandemic viral illness COVID-19 is especially life-threatening in the elderly and in those with any of a variety of chronic medical conditions. This essay explores the possibility that the heightened risk may involve activation of the "extended autonomic system" (EAS). Traditionally, the autonomic nervous system has been viewed as consisting of the sympathetic nervous system, the parasympathetic nervous system, and the enteric nervous system. Over the past century, however, neuroendocrine and neuroimmune systems have come to the fore, justifying expansion of the meaning of "autonomic." Additional facets include the sympathetic adrenergic system, for which adrenaline is the key effector; the hypothalamic-pituitary-adrenocortical axis; arginine vasopressin (synonymous with anti-diuretic hormone); the renin-angiotensin-aldosterone system, with angiotensin II and aldosterone the main effectors; and cholinergic anti-inflammatory and sympathetic inflammasomal pathways. A hierarchical brain network-the "central autonomic network"-regulates these systems; embedded within it are components of the Chrousos/Gold "stress system." Acute, coordinated alterations in homeostatic settings (allostasis) can be crucial for surviving stressors such as traumatic hemorrhage, asphyxiation, and sepsis, which throughout human evolution have threatened homeostasis; however, intense or long-term EAS activation may cause harm. While required for appropriate responses in emergencies, EAS activation in the setting of chronically decreased homeostatic efficiencies (dyshomeostasis) may reduce thresholds for induction of destabilizing, lethal vicious cycles. Testable hypotheses derived from these concepts are that biomarkers of EAS activation correlate with clinical and pathophysiologic data and predict outcome in COVID-19 and that treatments targeting specific abnormalities identified in individual patients may be beneficial.

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“…Timely response to situations of missed medicine doses is considered important to prevent diseases. The number of HF cases increased 2 years and 3 years after the Great East Japan Earthquake in 2011 [21] . Therefore, it is necessary to carefully observe the occurrence of HF during the next few years after the disaster.…”

Section: Increased Occurrences Of Cardiovascular Diseasementioning

confidence: 99%

Relationship between the flood disaster caused by the Reiwa first year east Japan typhoon and cardiovascular and cerebrovascular events in Nagano City: The SAVE trial

Sunohara

Miura

Komatsu

et al. 2021

Journal of Cardiology

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Background: The Reiwa First Year East Japan Typhoon of 2019 caused a torrential flood in Japan. In Nagano City, a large area was flooded due to the collapse of the Chikuma River embankment. After largescale disasters, an increase in cardiovascular and cerebrovascular events has been reported on account of the stressful conditions. However, few reports of disaster-related diseases associated with flood damage have been described. Thus, our aim was to elucidate the effect of floods on the incidences of cardiovascular and cerebrovascular diseases in Nagano City. Methods: The Shinshu Assessment of Flood Disaster Cardiovascular Events (SAVE) trial enrolled 2,426 patients admitted for cardiovascular or cerebrovascular diseases at all five hospitals with an emergency department in Nagano City from October 1 to December 31 in the years 2017, 2018, and 2019. The occurrence of these diseases was calculated in every 2 weeks and the findings of 2019 (year of the flood) were compared with those of 2017 and 2018. Results: Cardiovascular and cerebrovascular diseases significantly increased during the 2 weeks immediately after the flood disaster (149 in 2019 vs average of 116.5 in the previous 2 years, p < 0.05). Unstable angina cases significantly increased 1.5-2 months after the flood disaster, and cerebral hemorrhage cases significantly increased in the 2 weeks after the flood disaster. Conclusions: Cardiovascular and cerebrovascular events increased significantly during the 2 weeks immediately after the large-scale flood disaster caused by the Reiwa First Year East Japan typhoon. Because of the increasing frequency of flood disasters, it is necessary to predict the occurrences of cardiovascular and cerebrovascular diseases and to implement guidelines for their appropriate and timely management.

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Sustained Increase in the Incidence of Acute Decompensated Heart Failure After the 2011 Japan Earthquake and Tsunami

Cited by 12 publications

References 27 publications

Impact of the Great East Japan Earthquake and Tsunami on the Incidence of Takotsubo Syndrome Using a Multicenter, Long-Term Regional Registry

Impact of the Great East Japan Earthquake and Tsunami on the Incidence of Takotsubo Syndrome Using a Multicenter, Long-Term Regional Registry

The extended autonomic system, dyshomeostasis, and COVID-19

Relationship between the flood disaster caused by the Reiwa first year east Japan typhoon and cardiovascular and cerebrovascular events in Nagano City: The SAVE trial

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