Cardiovascular Diseases in Natural Disasters; a Systematic Review.
Cardiovascular Diseases in Natural Disasters; a Systematic Review.
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DOI：
10.22037/aaem.v9i1.1208
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发表时间：
2021
影响因子：
5.4
通讯作者：
Faridaalaee G
中科院分区：
文献类型：
--
作者：
Babaie J;Pashaei Asl Y;Naghipour B;Faridaalaee G
由于破坏和缺乏获得重要基础设施和精神压力，灾害加剧了心血管疾病（CVD），因此CVD的管理变得更具挑战性。本研究的目的是调查自然灾害时心血管疾病的发病率和患病率、心血管疾病的发病率和死亡率、心血管疾病的治疗和管理。 在本系统综述中，以英文发表的文章，直到28。11. 2020年，研究自然灾害中的CVD。入选标准为心血管疾病，如地震、洪水、风暴、飓风、旋风、台风和龙卷风等自然灾害中的心肌梗死（MI）、急性冠状动脉综合征（ACS）、高血压（HTN）、肺水肿和心力衰竭（HF）。检索共检索到4，426条非重复记录。最终将104篇文献纳入质量评价。共检索到洪水、暴雨、地震时心血管疾病的文献4篇、21篇、79篇。 灾害发生后心血管疾病的患病率增加。无法获得药物或缺乏药物调整，由于灾难后的破坏和身心压力而失去家庭血压监测仪是控制和管理心血管疾病的最重大挑战。通过迅速设立诊所，迅速获得适当的诊断和治疗，提供和获得药物，自我管理和自我保健激励措施沿着控制压力的适当药物和非药物措施，我们可以更好地管理和控制心血管疾病，特别是高血压。
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. 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. 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. 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.