Chronological Impact of Earthquakes on Blood Pressure: A Literature Review and Retrospective Study of Hypertension in Haiti Before and After the 2010 Earthquake

Frontiers in Public Health

article

Ayman R. Fath¹  Abdullah S. Eldaly²  Michael Juby³  Alexandra R. Lucas⁴  Amro Aglan⁶  Jeri Platt¹  Jordan R. Yaron⁴  Kyle S. Varkoly⁷  Roxana N. Beladi⁷  Diane Gorgas⁸  Jean Tom Jean⁹  Pierre Dasni⁹ 

[1] Internal Medicine Department, Creighton University, United States;Plastic and Reconstructive Surgery Department, Tanta University Hospitals;Midwestern University Medical School, United States;Center for Personalized Diagnostics, Biodesign Institute, Arizona State University, United States;Internal Medicine Department, Creighton University Arizona Health Education Alliance, United States;Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, United States;Kansas City University, United States;Department of Emergency Medicine and Office of Global Health, Ohio State University's Wexner Medical Center, United States;Jerusalem Baptist Church;Santiago Medical School

关键词: Haiti;    2010 earthquake;    blood pressure;    hypertension;    natural disasters (NDs);    environmental stress;    cardiovascular events;   

DOI  :  10.3389/fpubh.2020.600157

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objective: We review prior studies on the incidence of hypertension (HTN) after earthquakes and present a retrospective analysis of HTN after the 2010 earthquake in Haiti. Methods: Prior reports on HTN incidence were reviewed and a retrospective chart review for diagnosis of HTN in 4,308 patient charts was performed over a 7 year period (five clinics). A retrospective cohort study (RCS) was then performed on 11 patients with linear follow-up. Results: The Literature review revealed a significant increase in acute and subacute HTN following earthquakes. However, the chronic effects of earthquakes varied. Our chart review uncovered no significant difference in diagnosed HTN in a Fort-Liberté clinic 128 kilometers (km) distant and 4 weeks post-event. A secondary linear RCS for 11 individuals, prior to and after the earthquake, also did not detect a significant change in HTN prevalence. Conclusion: Prior studies demonstrate acute and subacute, increases in HTN after earthquakes, but late changes have varied. Retrospective studies in the Fort-Liberté clinic, 128 km distant and 4 weeks post-event, revealed no significant change in HTN, confirming prior findings that changes in HTN after earthquakes are early and local events. Further work examining HTN after earthquakes is needed to improve early health care after natural disasters.

【 授权许可】

CC BY