在高风险地震区域的ST升高心肌梗塞发病率
Jorge A Ortega-Hernández1, Héctor González-Pacheco1, Rodrigo Gopar-Nieto1
1Instituto Nacional de Cardiología Ignacio Chávez, Coronary Care Unit, Juan Badiano 1, Sección XVI, Tlalpan 14080, Ciudad De México, Mexico.
The American journal of emergency medicine
|January 25, 2025
概括
地震在地震事件发生后的几天内显著增加ST升高心肌梗塞 (STEMI) 病例. 这项研究强调了地震压力和心血管事件之间的联系.
科学领域:
- 心脏病学 心脏病学
- 环境健康 环境健康
- 公共卫生 公共卫生
背景情况:
- 地震是不可预测的自然灾害,可以引发急性生理压力.
- 这种压力可能会导致心血管事件,包括ST升高心肌梗塞 (STEMI).
- 易地震地区的三级护理医院在应对地震时面临着独特的挑战.
研究的目的:
- 调查地震活动与STEMI招生之间的关联.
- 为了量化重大地震后STEMI招生人数的增加.
- 分析患者的特征和与地震事件相关的结果.
主要方法:
- 在墨西哥城一家三级医院对STEMI入院患者进行了19年的回顾性分析.
- 使用美国地质学数据库识别地震 (强度≥6.0).
- 在地震期间 (±7天) 的STEMI入院率与使用Poisson回归的对照期相比较.
主要成果:
- 在地震发生当天 (IRR=1.49) 和地震发生后的一周 (IRR=1.19) 观察到STEMI入院的显著增加.
- 地震后的+1和+2天的入院人数显著增加 (IRR分别为1.54和1.58).
- 在地震和对照期间的患者人口统计,STEMI严重程度或死亡率方面没有发现显著差异.
结论:
- 地震事件与地震活跃地区的STEMI入学人数的增加有很大关系.
- 地震引起的压力似乎是导致STEMI事件的一个因素.
- 这些发现强调需要在易发生地震的地区加强心血管警.
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