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The impact of earthquakes on the frequency and prognosis of the most common emergency cardiac conditions
AIM: To assess whether the number of patients with a cardiac chief complaint and their characteristics differed between before and after two major earthquakes that struck Croatia in 2020. METHODS: We collected data on all visits of patients with a cardiac chief complaint examined in the emergency de...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Croatian Medical Schools
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332299/ https://www.ncbi.nlm.nih.gov/pubmed/37391913 http://dx.doi.org/10.3325/cmj.2023.64.164 |
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author | Babić, Zdravko Pavlov, Marin Radić, Petra Šikić, Josica Galić, Edvard Balenović, Diana Letilović, Tomislav Horvat, Davor Perčin, Luka Šipuš, Dubravka Obadić, Valentina Miličić, Davor |
author_facet | Babić, Zdravko Pavlov, Marin Radić, Petra Šikić, Josica Galić, Edvard Balenović, Diana Letilović, Tomislav Horvat, Davor Perčin, Luka Šipuš, Dubravka Obadić, Valentina Miličić, Davor |
author_sort | Babić, Zdravko |
collection | PubMed |
description | AIM: To assess whether the number of patients with a cardiac chief complaint and their characteristics differed between before and after two major earthquakes that struck Croatia in 2020. METHODS: We collected data on all visits of patients with a cardiac chief complaint examined in the emergency departments of six hospitals nearest to the epicenters. Patients seen during the 7 days before the earthquake were compared with those seen on the day and during the 6 days after the earthquake. RESULTS: Patients seen after the earthquake were younger (68 [59-79] vs 72.5 [65-80]; P < 0.001) and less frequently had cardiovascular disease (32.9% vs 42.8%; P < 0.001). This group less frequently had the primary diagnosis of acute myocardial infarction (AMI) (15.6% vs 21.9%; P = 0.005), heart failure (9.3% vs 19.4%; P < 0.001), dysregulated hypertension (13.9% vs 19.4%; P = 0.01), but more frequently had non-anginal chest discomfort (28.8% vs 18.0%; P < 0.001). In a subgroup analysis of patients seen in hospitals located within 20 km from the epicenter, significantly more patients seen after the earthquake compared with those seen before the earthquake presented with AMI (14.5% vs 22.8%; P = 0.028), acute elevation of blood pressure (10% vs 21.8%, P = 0.001), and paroxysmal arrhythmias treated with electrocardioversion (0.9% vs 4.5%, P = 0.022). CONCLUSION: After two moderately strong earthquakes, hospitals within 20 km from the epicenter saw a significant increase in acute cardiac conditions such as elevated blood pressure, AMI, and cardioverted arrhythmias. Eventually, these earthquakes had no impact on the outcomes of the studied population. |
format | Online Article Text |
id | pubmed-10332299 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Croatian Medical Schools |
record_format | MEDLINE/PubMed |
spelling | pubmed-103322992023-07-11 The impact of earthquakes on the frequency and prognosis of the most common emergency cardiac conditions Babić, Zdravko Pavlov, Marin Radić, Petra Šikić, Josica Galić, Edvard Balenović, Diana Letilović, Tomislav Horvat, Davor Perčin, Luka Šipuš, Dubravka Obadić, Valentina Miličić, Davor Croat Med J Research Article AIM: To assess whether the number of patients with a cardiac chief complaint and their characteristics differed between before and after two major earthquakes that struck Croatia in 2020. METHODS: We collected data on all visits of patients with a cardiac chief complaint examined in the emergency departments of six hospitals nearest to the epicenters. Patients seen during the 7 days before the earthquake were compared with those seen on the day and during the 6 days after the earthquake. RESULTS: Patients seen after the earthquake were younger (68 [59-79] vs 72.5 [65-80]; P < 0.001) and less frequently had cardiovascular disease (32.9% vs 42.8%; P < 0.001). This group less frequently had the primary diagnosis of acute myocardial infarction (AMI) (15.6% vs 21.9%; P = 0.005), heart failure (9.3% vs 19.4%; P < 0.001), dysregulated hypertension (13.9% vs 19.4%; P = 0.01), but more frequently had non-anginal chest discomfort (28.8% vs 18.0%; P < 0.001). In a subgroup analysis of patients seen in hospitals located within 20 km from the epicenter, significantly more patients seen after the earthquake compared with those seen before the earthquake presented with AMI (14.5% vs 22.8%; P = 0.028), acute elevation of blood pressure (10% vs 21.8%, P = 0.001), and paroxysmal arrhythmias treated with electrocardioversion (0.9% vs 4.5%, P = 0.022). CONCLUSION: After two moderately strong earthquakes, hospitals within 20 km from the epicenter saw a significant increase in acute cardiac conditions such as elevated blood pressure, AMI, and cardioverted arrhythmias. Eventually, these earthquakes had no impact on the outcomes of the studied population. Croatian Medical Schools 2023-06 /pmc/articles/PMC10332299/ /pubmed/37391913 http://dx.doi.org/10.3325/cmj.2023.64.164 Text en Copyright © 2023 by the Croatian Medical Journal. All rights reserved. https://creativecommons.org/licenses/by/2.5/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Babić, Zdravko Pavlov, Marin Radić, Petra Šikić, Josica Galić, Edvard Balenović, Diana Letilović, Tomislav Horvat, Davor Perčin, Luka Šipuš, Dubravka Obadić, Valentina Miličić, Davor The impact of earthquakes on the frequency and prognosis of the most common emergency cardiac conditions |
title | The impact of earthquakes on the frequency and prognosis of the most common emergency cardiac conditions |
title_full | The impact of earthquakes on the frequency and prognosis of the most common emergency cardiac conditions |
title_fullStr | The impact of earthquakes on the frequency and prognosis of the most common emergency cardiac conditions |
title_full_unstemmed | The impact of earthquakes on the frequency and prognosis of the most common emergency cardiac conditions |
title_short | The impact of earthquakes on the frequency and prognosis of the most common emergency cardiac conditions |
title_sort | impact of earthquakes on the frequency and prognosis of the most common emergency cardiac conditions |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332299/ https://www.ncbi.nlm.nih.gov/pubmed/37391913 http://dx.doi.org/10.3325/cmj.2023.64.164 |
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