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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: [email protected].
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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

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