在土耳其毁灭性地震后,急性冠状动脉综合征诊所的变化
Oğuz Akkuş1, Ramazan Yadsıbaş1, Ramazan Furkan Demirkıran1
1Department of Cardiology, Mustafa Kemal University Faculty of Medicine, Antakya, Türkiye.
Anatolian journal of cardiology
|June 4, 2024
概括
地震增加了急性冠状动脉综合征 (ACS),特别是非阻塞性冠状动脉疾病 (MINOCA) 的心肌梗塞. 男人,有先前再血管化和家族史的人,在灾难后面临更高的ACS风险.
科学领域:
- 心脏病学 心脏病学
- 灾难医学 灾难医学
- 公共卫生 公共卫生
背景情况:
- 研究了急性冠状动脉综合征 (ACS) 幸存者在土耳其安塔克亚地震后的临床和血管学特征.
- 研究了毁灭性地震对ACS发病率和患者特征的影响.
研究的目的:
- 分析地震幸存者的临床和血管学概况 ACS.
- 了解大自然灾害后ACS呈现和风险因素的具体变化.
主要方法:
- 在地震后 (2023年2月至6月) 住院治疗的248名ACS患者 (地震组) 的回顾性分析.
- 与209名ACS患者 (对照组) 与2022年同期的209名ACS患者进行比较.
- 评估临床数据,包括并发症和先前的干预措施.
主要成果:
- 在地震之前,多血管疾病的患病率更高 (P <.001).
- 心肌梗塞与非阻塞性冠状动脉疾病 (MINOCA) 在地震后显著增加.
- 男人 (OR 2.1,P=.023),有先前再血管化 (OR 1.8,P=.05) 和家族病史 (OR 3.5,P<.001) 的男性有更高的ACS风险.
- 地震组的糖尿病降低了 (P <.001).
结论:
- 地震造成的环境压力突然引发了MINOCA的增加.
- 营养状况恶化可能导致地震后糖尿病病例减少.
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