Hanshin-Awaji earthquake as a trigger for acute myocardial infarction
Hanshin-Awaji earthquake as a trigger for acute myocardial infarction
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DOI：
10.1016/s0002-8703(97)80023-3
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发表时间：
1997-11-01
影响因子：
4.8
通讯作者：
Matsuo, T
中科院分区：
文献类型：
--
作者：
Suzuki, S;Sakamoto, S;Matsuo, T
1995年1月17日，坂神淡路地区发生了日本有史以来最具破坏性的地震。人们普遍认为，急性情绪压力，如地震引起的，可以引发急性心肌梗死（AMI）。本研究的目的是评估地震应力对我区急性心肌梗死发病的影响。在地震后的前4周内，AMI患者数量增加了约3.5倍。患者的平均年龄为72.5 ± 2.8岁，女性比例（53%）明显高于前几年。无前驱心绞痛的患者比例为53%。平均创伤后应激障碍反应指数评分（n = 14）为40.1 +/- 4.1，这表明严重的压力水平。女性的平均得分（45.9 +/- 4.7; n = 7）显著高于男性（34.3 +/- 6.4; n = 7）。我们的结论是，地震后，严重的情绪压力可能引发AMI，女性比正常情况下更常见。
On Jan. 17, 1995, the Hanshin-Awaji district was struck by the most destructive earthquake ever to occur in Japan. It is commonly believed that acute emotional stress such as that caused by an earthquake can trigger acute myocardial infarction (AMI). The objective of this study was to evaluate the effect of the quake stress on the onset of AMI in our district. The number of patients with AMI during the first 4 weeks after the quake increased by about 3.5-fold. The mean age of patients was 72.5 +/- 2.8 years, and the proportion of women (53%) was significantly greater than in the preceding years. The proportion of patients without prodromal angina pectoris was 53%. The mean post-traumatic stress disorder reaction index score (n = 14) was 40.1 +/- 4.1, which indicates a severe stress level. The mean score in the women (45.9 +/- 4.7; n = 7) was significantly higher than that in the men (34.3 +/- 6.4; n = 7). We concluded that after an earthquake, severe emotional stress can trigger AMI, more often than normal in women.