Disaster hypertension and cardiovascular events in disaster and COVID-19 pandemic

Keisuke Narita1,2, Satoshi Hoshide1, Kelvin Tsoi3

  • 1Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan.

Insights

Disaster medicine is crucial as large disasters increase. Information and communication technology (ICT) improves cardiovascular risk management, as demonstrated by successful blood pressure control during the Great East Japan Earthquake.

Area of Science:

  • Disaster medicine
  • Cardiovascular health
  • Public health emergencies

Background:

  • Global increase in large-scale disasters necessitates advancements in disaster medicine.
  • The coronavirus disease-2019 (COVID-19) pandemic highlighted the intersection of disasters and cardiovascular health.
  • Existing research often lacks comprehensive strategies for managing cardiovascular risks during crises.

Purpose of the Study:

  • To review current evidence on cardiovascular diseases in disaster settings and during the COVID-19 pandemic.
  • To elucidate the mechanisms and temporal aspects of disaster-related cardiovascular diseases.
  • To evaluate the efficacy of information and communication technology (ICT) in cardiovascular risk management during disasters.

Main Methods:

  • Systematic review of literature concerning disasters, COVID-19, and cardiovascular diseases.
  • Analysis of case studies, including the "Disaster Cardiovascular Prevention" system used during the 2011 Great East Japan Earthquake.
  • Evaluation of ICT-based blood pressure (BP) monitoring and remote management strategies.

Main Results:

  • Cardiovascular diseases pose significant risks during disasters and pandemics.
  • ICT-based systems, like the "Disaster Cardiovascular Prevention" system, demonstrated improved blood pressure control in evacuation centers.
  • Remote monitoring via ICT facilitated effective BP management, reducing cardiovascular event risks.

Conclusions:

  • Information and communication technology (ICT) is a vital tool for managing cardiovascular risks in disaster and pandemic scenarios.
  • Telemedicine offers a scalable solution for continuous patient monitoring and intervention during emergencies.
  • Proactive implementation of ICT-based cardiovascular care is essential for mitigating health impacts of future disasters.

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