Hostname: page-component-848d4c4894-xfwgj Total loading time: 0 Render date: 2024-06-27T21:01:45.410Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical Features of Patients With Heart Failure After the 2016 Kumamoto Earthquakes

Published online by Cambridge University Press:  13 December 2021

Yasuhiro Nagayoshi ,
Tetsuo Yufu ,
Shinzo Miyamoto ,
Shinya Yumoto ,
Motohiro Hashiyama ,
Yutaka Kai ,
Hiroaki Kawano  and
Kenichi Tsujita
Yasuhiro Nagayoshi*
Affiliation:
Department of Cardiology, Amakusa Medical Center, Kumamoto, Japan Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto City, Japan
Tetsuo Yufu
Affiliation:
Aso Medical Center, Aso City, Japan
Shinzo Miyamoto
Affiliation:
Aso Medical Center, Aso City, Japan
Shinya Yumoto
Affiliation:
Aso Medical Center, Aso City, Japan
Motohiro Hashiyama
Affiliation:
Aso Medical Center, Aso City, Japan
Yutaka Kai
Affiliation:
Aso Medical Center, Aso City, Japan
Hiroaki Kawano
Affiliation:
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto City, Japan
Kenichi Tsujita
Affiliation:
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto City, Japan
*
Corresponding author: Yasuhiro Nagayoshi, Email: ynagayos@kumamoto-u.ac.jp.
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

Acute and chronic stress after severe earthquakes can contribute to cardiovascular events, including heart failure (HF). On April 14, 2016, magnitude 7 earthquakes occurred in the Aso region in the western part of Japan. This study aimed to investigate the clinical characteristics of HF in this area after these earthquakes.

Methods:

We investigated the clinical characteristics and 1-y mortality rate of patients with HF. Nutritional status was evaluated with the Geriatric Nutritional Risk Index (GNRI) and the Prognostic Nutritional Index (PNI).

Results:

Among a total of 58 cardiovascular events, HF was the most frequently observed (n = 28). The mean age of individuals with HF was 85.5 y. The total incidence of HF was significantly higher compared with the average of the prior 2 y. Disaster influence on mental health was suggested by patient history in 20 patients (71%). The 1-y mortality rate among patients with HF was 50%. Among those who died, 93% had malnutrition status (GNRI <92 and /or PNI ≤38).

Conclusions:

Our results demonstrated the poor prognosis of patients with HF following the disaster. The prevalence of malnutrition was high in those patients. Careful follow-up is necessary, especially for older people with frailty.

Keywords

heart failurestressdisastermalnutrition
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e67
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kloner, RA. Lessons learned about stress and the heart after major earthquakes. Am Heart J. 2019;215:20-26.CrossRefGoogle ScholarPubMed
Komorita, T, Fujisue, K, Sueta, D, et al. Clinical features of patients with acute aortic dissection after an earthquake: experience from the Kumamoto earthquake 2016. Am J Hypertens. 2020;33(3):261-268.CrossRefGoogle ScholarPubMed
Sato, K, Sakamoto, K, Hashimoto, Y, et al. Risk factors and prevalence of deep vein thrombosis after the 2016 Kumamoto earthquakes. Circ J. 2019;83(6):1342-1348.CrossRefGoogle ScholarPubMed
Nozaki, E, Nakamura, A, Abe, A, et al. Occurrence of cardiovascular events after the 2011 Great East Japan Earthquake and tsunami disaster. Int Heart J. 2013;54(5):247-253.CrossRefGoogle ScholarPubMed
Nakamura, A, Nozaki, E, Fukui, S, et al. Increased risk of acute myocardial infarction after the Great East Japan Earthquake. Heart Vessels. 2014;29(2):206-212.CrossRefGoogle ScholarPubMed
Inatomi, Y, Nakajima, M, Yonehara, T, et al. Clinical characteristics of patients with ischemic stroke following the 2016 Kumamoto earthquake. J Clin Neurosci. 2017;46:79-84.CrossRefGoogle ScholarPubMed
Aoki, T, Takahashi, J, Fukumoto, Y, et al. Effect of the Great East Japan Earthquake on cardiovascular diseases--report from the 10 hospitals in the disaster area. Circ J. 2013;77(2):490-493.CrossRefGoogle ScholarPubMed
Nakano, M, Kondo, M, Wakayama, Y, et al. Increased incidence of tachyarrhythmias and heart failure hospitalization in patients with implanted cardiac devices after the great East Japan earthquake disaster. Circ J. 2012;76(5):1283-1285.CrossRefGoogle ScholarPubMed
Suzuki, H, Yamada, S, Kamiyama, Y, et al. Efficacy of intrathoracic impedance and remote monitoring in patients with an implantable device after the 2011 great East Japan earthquake. Int Heart J. 2014;55(1):53-57.CrossRefGoogle ScholarPubMed
Nakamura, A, Satake, H, Abe, A, et al. Characteristics of heart failure associated with the Great East Japan Earthquake. J Cardiol. 2013;62(1):25-30.CrossRefGoogle ScholarPubMed
Yamauchi, H, Yoshihisa, A, Iwaya, S, et al. Clinical features of patients with decompensated heart failure after the Great East Japan Earthquake. Am J Cardiol. 2013;112(1):94-99.CrossRefGoogle ScholarPubMed
Nakamura, M, Tanaka, F, Komi, R, et al. Sustained increase in the incidence of acute decompensated heart failure after the 2011 Japan earthquake and tsunami. Am J Cardiol. 2016;118(9):1374-1379.CrossRefGoogle ScholarPubMed
Miyata, S, Sakata, Y, Miura, M, et al. Long-term prognostic impact of the Great East Japan Earthquake in patients with cardiovascular disease - report from the CHART-2 Study. J Cardiol. 2017;70(3):286-296.CrossRefGoogle ScholarPubMed
Japan Meteorological Agency. 2016 Kumamoto Earthquake. Accessed January 31, 2021. https://www.data.jma.go.jp/svd/eqev/data/2016_04_14_kumamoto/index.html#jishinkatsudo Google Scholar
Bouillanne, O, Morineau, G, Dupont, C, et al. Geriatric nutritional risk index: a new index for evaluating at-risk elderly medical patients. Am J Clin Nutr. 2005;82(4):777-783.CrossRefGoogle ScholarPubMed
Buzby, GP, Mullen, JL, Matthews, DC, et al. Prognostic nutritional index in gastrointestinal surgery. Am J Surg. 1980;139(1):160-167.CrossRefGoogle ScholarPubMed
Narumi, T, Arimoto, T, Funayama, A, et al. Prognostic importance of objective nutritional indexes in patients with chronic heart failure. J Cardiol. 2013;62(5):307-313.CrossRefGoogle ScholarPubMed
Sze, S, Pellicori, P, Kazmi, S, et al. Prevalence and prognostic significance of malnutrition using 3 scoring systems among outpatients with heart failure: a comparison with body mass index. JACC Heart Fail. 2018;6(6):476-486.CrossRefGoogle ScholarPubMed
Kanda, Y. Investigation of the freely available easy-to-use software “EZR” for medical statistics. Bone Marrow Transplant. 2013;48(3):452-458.CrossRefGoogle ScholarPubMed
Drozd, M, Garland, E, Walker, AMN, et al. Infection-related hospitalization in heart failure with reduced ejection fraction: a prospective observational cohort study. Circ Heart Fail. 2020;13(5):e006746.CrossRefGoogle ScholarPubMed
JCS, JSH and JCC Joint Working Group. Guidelines for disaster medicine for patients with cardiovascular diseases (JCS 2014/JSH 2014/JCC 2014). Circ J. 2016;80(1):261-284.CrossRefGoogle Scholar
Kario, K. Disaster hypertension - its characteristics, mechanism, and management. Circ J. 2012;76(3):553-562.CrossRefGoogle ScholarPubMed
Hamada, T, Kubo, T, Yamasaki, N, et al. Predictive factors of rehospitalization for worsening heart failure and cardiac death within 1 year in octogenarians hospitalized for heart failure. Geriatr Gerontol Int. 2018;18(1):101-107.CrossRefGoogle ScholarPubMed
Nishi, I, Seo, Y, Hamada-Harimura, Y, et al. Geriatric nutritional risk index predicts all-cause deaths in heart failure with preserved ejection fraction. ESC Heart Fail. 2019;6(2):396-405.CrossRefGoogle ScholarPubMed
Kinugasa, Y, Kato, M, Sugihara, S, et al. Geriatric nutritional risk index predicts functional dependency and mortality in patients with heart failure with preserved ejection fraction. Circ J. 2013;77(3):705-711.CrossRefGoogle ScholarPubMed
Minamisawa, M, Seidelmann, SB, Claggett, B, et al. Impact of malnutrition using geriatric nutritional risk index in heart failure with preserved ejection fraction. JACC Heart Fail. 2019;7(8):664-675.CrossRefGoogle ScholarPubMed
Ando, S, Kuwabara, H, Araki, T, et al. Mental health problems in a community after the Great East Japan Earthquake in 2011: a systematic review. Harv Rev Psychiatry. 2017;25(1):15-28.CrossRefGoogle Scholar
Yabe, H, Suzuki, Y, Mashiko, H, et al. Psychological distress after the Great East Japan Earthquake and Fukushima Daiichi Nuclear Power Plant accident: results of a mental health and lifestyle survey through the Fukushima Health Management Survey in FY2011 and FY2012. Fukushima J Med Sci. 2014;60(1):57-67.CrossRefGoogle Scholar
Uemura, M, Ohira, T, Yasumura, S, et al. Association between psychological distress and dietary intake among evacuees after the Great East Japan Earthquake in a cross-sectional study: the Fukushima Health Management Survey. Fukushima Health Management Survey Group. BMJ Open. 2016;6(7):e011534.CrossRefGoogle Scholar
Zhang, W, Ohira, T, Abe, M, et al. Evacuation after the Great East Japan Earthquake was associated with poor dietary intake: The Fukushima Health Management Survey. J Epidemiol. 2017;27(1):14-23.CrossRefGoogle ScholarPubMed
Amagai, T, Ichimaru, S, Tai, M, et al. Nutrition in the Great East Japan Earthquake Disaster. Nutr Clin Pract. 2014;29(5):585-594.CrossRefGoogle ScholarPubMed
Tsuboyama-Kasaoka, N, Hoshi, Y, Onodera, K, et al. What factors were important for dietary improvement in emergency shelters after the Great East Japan Earthquake? Asia Pac J Clin Nutr. 2014;23(1):159-166.Google ScholarPubMed
Hanninen, SA, Darling, PB, Sole, MJ, et al. The prevalence of thiamin deficiency in hospitalized patients with congestive heart failure. J Am Coll Cardiol. 2006;47(2):354-361.CrossRefGoogle ScholarPubMed
DiNicolantonio, JJ, Niazi, AK, Lavie, CJ, et al. Thiamine supplementation for the treatment of heart failure: a review of the literature. Congest Heart Fail. 2013;19(4):214-222.CrossRefGoogle ScholarPubMed
Inoue, T, Nakao, A, Kuboyama, K, et al. Gastrointestinal symptoms and food/nutrition concerns after the great East Japan earthquake in March 2011: survey of evacuees in a temporary shelter. Prehosp Disaster Med. 2014;29(3):303-306.CrossRefGoogle Scholar
Maeda, K, Shamoto, H, Furuya, S. Feeding support team for frail, disabled, or elderly people during the early phase of a disaster. Tohoku J Exp Med. 2017;242(4):259-261.CrossRefGoogle ScholarPubMed
Nagayoshi, Y, Yumoto, S, Sakaguchi, K, et al. Heart attacks triggered by huge mud slides in mountain regions and severe flooding in inhabited areas. J Cardiol. 2015;65(2):117-120.CrossRefGoogle ScholarPubMed
Matsuoka, T, Yoshioka, T, Oda, J, et al. The impact of a catastrophic earthquake on morbidity rates for various illnesses. Public Health. 2000;114(4):249-253.CrossRefGoogle ScholarPubMed
Kario, K, Ohashi, T. Increased coronary heart disease mortality after the Hanshin-Awaji earthquake among the older community on Awaji Island. Tsuna Medical Association. J Am Geriatr Soc. 1997;45(5):610-613.CrossRefGoogle ScholarPubMed
Hoshide, S, Nishizawa, M, Okawara, Y, et al. Salt intake and risk of disaster hypertension among evacuees in a shelter after the Great East Japan Earthquake. Hypertension. 2019;74(3):564-571.CrossRefGoogle Scholar