Prevention of Natural Disaster-Induced Cardiovascular Diseases

Abstract

Natural disasters, such as floods and landslides caused by heavy rainfall, earthquakes, and tsunamis, can induce stress, which may contribute to the onset and aggravation of various cardiovascular diseases. The circulatory system is most susceptible to the effects of stress, and stress-related cardiovascular diseases, such as Takotsubo cardiomyopathy, pulmonary thromboembolism, hypertension, stroke triggered by increased blood pressure, and acute myocardial infarction, can occur during natural disasters. The risk of developing angina pectoris, arrhythmia, sudden cardiac death, and heart failure increases rapidly and can persist for several months. Moreover, treating cardiovascular diseases is essential during the acute phase, and continuous disease management is necessary during the chronic phase. However, disaster medical care for the victims must be given priority during natural disasters, which may cause a delay in diagnosis or access to necessary treatment for pre-existing medical conditions that could worsen or may cause death in patients with cardiovascular diseases. In this review, we summarize the predisposing factors for cardiovascular diseases that have been obtained through disasters such as major earthquakes and provide potential insights to help medical staff prevent the onset and aggravation of cardiovascular diseases during disasters.

Keywords: Takotsubo cardiomyopathy; heart failure; hypertension; preventive cardiology; pulmonary thromboembolism; stress; venous thrombosis.

Figure 1

Disaster cardiovascular prevention (DCAP) risk score (AFHCHDC7) and prevention score (SEDWITMP8). * Total number of each risk factor as the individual risk score (0–7 points). The individual with 4 points or more is in the high-risk group. # Total number of each prevention factor as the individual prevention score (0–8 points). Target prevention score is 6 or more, particularly in high-risk patients [12].