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Long-Term Effects of the 2011 Japan Earthquake and Tsunami on Incidence of Fatal and Nonfatal Myocardial Infarction
This study aimed to examine the long-term effects of the 2011 Japan earthquake and tsunami on the incidence of fatal and nonfatal myocardial infarction (MI). In the present study, the incidence of 2 types of cardiac events was comprehensively recorded. The study area was divided into 2 zones based o...
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| Published in: | The American journal of cardiology 2017-08, Vol.120 (3), p.352-358 |
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| container_title | The American journal of cardiology |
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| creator | Nakamura, Motoyuki, MD Tanaka, Kentarou, MD Tanaka, Fumitaka, MD Matsuura, Yuuki, MD Komi, Ryousuke, MD Niiyama, Masanobu, MD Kawakami, Mikio, MD Koeda, Yorihiko, MD Sakai, Toshiaki, MD Onoda, Toshiyuki, MD, PhD Itoh, Tomonori, MD |
| description | This study aimed to examine the long-term effects of the 2011 Japan earthquake and tsunami on the incidence of fatal and nonfatal myocardial infarction (MI). In the present study, the incidence of 2 types of cardiac events was comprehensively recorded. The study area was divided into 2 zones based on the severity of tsunami damage, which was determined by the percentage of the inundated area within the residential area ( |
| doi_str_mv | 10.1016/j.amjcard.2017.05.002 |
| format | article |
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In the present study, the incidence of 2 types of cardiac events was comprehensively recorded. The study area was divided into 2 zones based on the severity of tsunami damage, which was determined by the percentage of the inundated area within the residential area (<10%, low-impact zone and ≥10%, high-impact zone). The standardized incidence ratio (SIR) and 95% CI for both types of cardiac events during the disaster year and the postdisaster years were determined in each zone. During the 4-year period after the disaster, the SIRs for nonfatal MI did not change to a statistically significant extent in either zones. For fatal MI, the SIR was stable during the study period in the low-impact zone. However, in the high-impact zone, the SIR was significantly elevated in the disaster year of 2011 (1.80 [95% CI 1.32 to 2.28]), and this increase was sustained for the following 3 years (2012, 2.06 [1.55 to 2.57]; 2013, 1.99 [1.49 to 2.48]; 2014, 2.12 [1.62 to 2.63]). The SIRs for fatal MI for the 4 postdisaster years in the municipal areas were significantly correlated with the percentage of the inundated area ( r = 0.83; p <0.001) and the number of deaths due to the tsunami ( r = 0.77; p <0.005) but not with the maximum seismic intensity ( r = 0.43; p = 0.12). In conclusion, these results suggest that the devastating tsunami was associated with a continual increase in the incidence of fatal MI among disaster survivors.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2017.05.002</identifier><identifier>PMID: 28599803</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Cardiovascular ; Cardiovascular disease ; Earthquake damage ; Earthquakes ; Electrocardiography ; Fatalities ; Female ; Follow-Up Studies ; Health risk assessment ; Heart ; Heart attacks ; Heart diseases ; Humans ; Incidence ; Japan - epidemiology ; Long-term effects ; Male ; Myocardial infarction ; Myocardial Infarction - epidemiology ; Prognosis ; Residential areas ; Retrospective Studies ; Seismic activity ; Statistical analysis ; Survival Rate - trends ; Time Factors ; Tsunamis</subject><ispartof>The American journal of cardiology, 2017-08, Vol.120 (3), p.352-358</ispartof><rights>The Author(s)</rights><rights>2017 The Author(s)</rights><rights>Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Sequoia S.A. Aug 1, 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c561t-94326a01446cd96d1116393a85120478d10db84fa8ffa2021a1ea278d85f18693</citedby><cites>FETCH-LOGICAL-c561t-94326a01446cd96d1116393a85120478d10db84fa8ffa2021a1ea278d85f18693</cites><orcidid>0000-0003-4823-0705</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28599803$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakamura, Motoyuki, MD</creatorcontrib><creatorcontrib>Tanaka, Kentarou, MD</creatorcontrib><creatorcontrib>Tanaka, Fumitaka, MD</creatorcontrib><creatorcontrib>Matsuura, Yuuki, MD</creatorcontrib><creatorcontrib>Komi, Ryousuke, MD</creatorcontrib><creatorcontrib>Niiyama, Masanobu, MD</creatorcontrib><creatorcontrib>Kawakami, Mikio, MD</creatorcontrib><creatorcontrib>Koeda, Yorihiko, MD</creatorcontrib><creatorcontrib>Sakai, Toshiaki, MD</creatorcontrib><creatorcontrib>Onoda, Toshiyuki, MD, PhD</creatorcontrib><creatorcontrib>Itoh, Tomonori, MD</creatorcontrib><creatorcontrib>Northern Iwate Heart Registry Consortium</creatorcontrib><title>Long-Term Effects of the 2011 Japan Earthquake and Tsunami on Incidence of Fatal and Nonfatal Myocardial Infarction</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>This study aimed to examine the long-term effects of the 2011 Japan earthquake and tsunami on the incidence of fatal and nonfatal myocardial infarction (MI). In the present study, the incidence of 2 types of cardiac events was comprehensively recorded. The study area was divided into 2 zones based on the severity of tsunami damage, which was determined by the percentage of the inundated area within the residential area (<10%, low-impact zone and ≥10%, high-impact zone). The standardized incidence ratio (SIR) and 95% CI for both types of cardiac events during the disaster year and the postdisaster years were determined in each zone. During the 4-year period after the disaster, the SIRs for nonfatal MI did not change to a statistically significant extent in either zones. For fatal MI, the SIR was stable during the study period in the low-impact zone. However, in the high-impact zone, the SIR was significantly elevated in the disaster year of 2011 (1.80 [95% CI 1.32 to 2.28]), and this increase was sustained for the following 3 years (2012, 2.06 [1.55 to 2.57]; 2013, 1.99 [1.49 to 2.48]; 2014, 2.12 [1.62 to 2.63]). The SIRs for fatal MI for the 4 postdisaster years in the municipal areas were significantly correlated with the percentage of the inundated area ( r = 0.83; p <0.001) and the number of deaths due to the tsunami ( r = 0.77; p <0.005) but not with the maximum seismic intensity ( r = 0.43; p = 0.12). In conclusion, these results suggest that the devastating tsunami was associated with a continual increase in the incidence of fatal MI among disaster survivors.</description><subject>Aged</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Earthquake damage</subject><subject>Earthquakes</subject><subject>Electrocardiography</subject><subject>Fatalities</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health risk assessment</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Long-term effects</subject><subject>Male</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - epidemiology</subject><subject>Prognosis</subject><subject>Residential areas</subject><subject>Retrospective Studies</subject><subject>Seismic activity</subject><subject>Statistical analysis</subject><subject>Survival Rate - 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epidemiology</topic><topic>Long-term effects</topic><topic>Male</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Prognosis</topic><topic>Residential areas</topic><topic>Retrospective Studies</topic><topic>Seismic activity</topic><topic>Statistical analysis</topic><topic>Survival Rate - trends</topic><topic>Time Factors</topic><topic>Tsunamis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakamura, Motoyuki, MD</creatorcontrib><creatorcontrib>Tanaka, Kentarou, MD</creatorcontrib><creatorcontrib>Tanaka, Fumitaka, MD</creatorcontrib><creatorcontrib>Matsuura, Yuuki, MD</creatorcontrib><creatorcontrib>Komi, Ryousuke, MD</creatorcontrib><creatorcontrib>Niiyama, Masanobu, MD</creatorcontrib><creatorcontrib>Kawakami, Mikio, MD</creatorcontrib><creatorcontrib>Koeda, Yorihiko, MD</creatorcontrib><creatorcontrib>Sakai, Toshiaki, MD</creatorcontrib><creatorcontrib>Onoda, Toshiyuki, MD, PhD</creatorcontrib><creatorcontrib>Itoh, Tomonori, MD</creatorcontrib><creatorcontrib>Northern Iwate Heart Registry Consortium</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biochemistry Abstracts 1</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakamura, Motoyuki, MD</au><au>Tanaka, Kentarou, MD</au><au>Tanaka, Fumitaka, MD</au><au>Matsuura, Yuuki, MD</au><au>Komi, Ryousuke, MD</au><au>Niiyama, Masanobu, MD</au><au>Kawakami, Mikio, MD</au><au>Koeda, Yorihiko, MD</au><au>Sakai, Toshiaki, MD</au><au>Onoda, Toshiyuki, MD, PhD</au><au>Itoh, Tomonori, MD</au><aucorp>Northern Iwate Heart Registry Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Effects of the 2011 Japan Earthquake and Tsunami on Incidence of Fatal and Nonfatal Myocardial Infarction</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>120</volume><issue>3</issue><spage>352</spage><epage>358</epage><pages>352-358</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><abstract>This study aimed to examine the long-term effects of the 2011 Japan earthquake and tsunami on the incidence of fatal and nonfatal myocardial infarction (MI). In the present study, the incidence of 2 types of cardiac events was comprehensively recorded. The study area was divided into 2 zones based on the severity of tsunami damage, which was determined by the percentage of the inundated area within the residential area (<10%, low-impact zone and ≥10%, high-impact zone). The standardized incidence ratio (SIR) and 95% CI for both types of cardiac events during the disaster year and the postdisaster years were determined in each zone. During the 4-year period after the disaster, the SIRs for nonfatal MI did not change to a statistically significant extent in either zones. For fatal MI, the SIR was stable during the study period in the low-impact zone. However, in the high-impact zone, the SIR was significantly elevated in the disaster year of 2011 (1.80 [95% CI 1.32 to 2.28]), and this increase was sustained for the following 3 years (2012, 2.06 [1.55 to 2.57]; 2013, 1.99 [1.49 to 2.48]; 2014, 2.12 [1.62 to 2.63]). The SIRs for fatal MI for the 4 postdisaster years in the municipal areas were significantly correlated with the percentage of the inundated area ( r = 0.83; p <0.001) and the number of deaths due to the tsunami ( r = 0.77; p <0.005) but not with the maximum seismic intensity ( r = 0.43; p = 0.12). In conclusion, these results suggest that the devastating tsunami was associated with a continual increase in the incidence of fatal MI among disaster survivors.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28599803</pmid><doi>10.1016/j.amjcard.2017.05.002</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4823-0705</orcidid><oa>free_for_read</oa></addata></record> |
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| source | ScienceDirect Journals |
| subjects | Aged Cardiovascular Cardiovascular disease Earthquake damage Earthquakes Electrocardiography Fatalities Female Follow-Up Studies Health risk assessment Heart Heart attacks Heart diseases Humans Incidence Japan - epidemiology Long-term effects Male Myocardial infarction Myocardial Infarction - epidemiology Prognosis Residential areas Retrospective Studies Seismic activity Statistical analysis Survival Rate - trends Time Factors Tsunamis |
| title | Long-Term Effects of the 2011 Japan Earthquake and Tsunami on Incidence of Fatal and Nonfatal Myocardial Infarction |
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