Vol 25, No 2 (2021)
Original paper
Published online: 2021-06-02
Hypertension treatment status and ultrasonic cardiography findings in temporary housing residents after the Kumamoto earthquake: a cross-sectional study
Arterial Hypertension 2021;25(2):69-76.
Abstract
Background: We aimed to investigate and report the relationship between hypertension treatment status and cardiac functions among temporary housing residents after the Kumamoto earthquake.
Material and methods: Ultrasonic cardiography examinations were conducted for 56 residents at temporary housing complexes in Minami Aso village in Kumamoto Prefecture in December 2016. The subjects were divided into the following three groups according to the incidence of hypertension and the antihypertensive treatment status: normal (without hypertension), treated, and untreated. Subsequently, their cardiac functions were compared.
Results: Age and BMI were found to be positive predictors for hypertension. Moreover, age, LAVI, and LVMI tended to be higher in the untreated group than in the treated group. Moderate or severe mitral regurgitation was significantly more common in the untreated group than in the treated group.
Conclusions: Controlling blood pressure may help to prevent new cardiac diseases (e.g., valve regurgitation) among survivors after a major disaster. In addition, for survivors who are severely affected by psychological stress, improving the mental stress support system may be an effective measure to reduce health problems.
Keywords: Kumamoto earthquakestemporary housingultrasonic cardiographyhypertension
References
- Kario K. Disaster hypertension — its characteristics, mechanism, and management. Circ J. 2012; 76(3): 553–562.
- Nishizawa M, Hoshide S, Okawara Y, et al. Strict Blood Pressure Control Achieved Using an ICT-Based Home Blood Pressure Monitoring System in a Catastrophically Damaged Area After a Disaster. J Clin Hypertens (Greenwich). 2017; 19(1): 26–29.
- Onishi H, Yamamura O, Ueda S, et al. Ultrasound cardiography examinations detect victims' long-term realized and potential consequences after major disasters: a case-control study. Environ Health Prev Med. 2018; 23(1): 37.
- JCS, JSH and JCC Joint Working Group. Guidelines for Disaster Medicine for Patients With Cardiovascular Diseases (JCS 2014/JSH 2014/JCC 2014) — Digest Version . Circ J. 2016; 80(1): 261–284.
- Nakaya N, Nakamura T, Tsuchiya N, et al. Psychological Distress and the Risk of Withdrawing From Hypertension Treatment After an Earthquake Disaster. Disaster Med Public Health Prep. 2017; 11(2): 179–182.
- Goda K, Campbell G, Hulme L, et al. The 2016 Kumamoto Earthquakes: Cascading Geological Hazards and Compounding Risks. Front Built Environ. 2016; 2.
- Shinichi U. About the role played by Aso Tateno Hospital. Aso community medicine plan Coordination Meeting (in Japanese). https://www.pref.kumamoto.jp/common/UploadFileOutput.ashx?c_id=3&id=26950&sub_id=1&flid=183278. Accessed October 1 2019; March 7 2019. (in Japanese) ( October 1, 2019).
- Ohyama R, Murata K, Tanaka N, et al. [Accuracy and usefulness of ultraportable hand-carried echocardiography system]. J Cardiol. 2001; 37(5): 257–262.
- Nagueh SF, Smiseth OA, Appleton CP, et al. Houston, Texas; Oslo, Norway; Phoenix, Arizona; Nashville, Tennessee; Hamilton, Ontario, Canada; Uppsala, Sweden; Ghent and Liège, Belgium; Cleveland, Ohio; Novara, Italy; Rochester, Minnesota; Bucharest, Romania; and St. Louis, Missouri. Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2016; 29(4): 277–314.
- Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr. 2015; 28(1): 1–39.e14.
- Daimon M, Watanabe H, Abe Y, et al. JAMP Study Investigators. Normal values of echocardiographic parameters in relation to age in a healthy Japanese population: the JAMP study. Circ J. 2008; 72(11): 1859–1866.
- Arima H, Kiyohara Y, Kato I, et al. Alcohol reduces insulin–hypertension relationship in a general population The Hisayama study. J Clin Epidemiol. 2002; 55(9): 863–869.
- Hikichi H, Aida J, Kondo K, et al. Residential relocation and obesity after a natural disaster: A natural experiment from the 2011 Japan Earthquake and Tsunami. Sci Rep. 2019; 9(1): 374.
- Levy D, Garrison RJ, Savage DD, et al. Left ventricular mass and incidence of coronary heart disease in an elderly cohort. The Framingham Heart Study. Ann Intern Med. 1989; 110(2): 101–107.
- Vaziri SM, Larson MG, Lauer MS, et al. Influence of blood pressure on left atrial size. The Framingham Heart Study. Hypertension. 1995; 25(6): 1155–1160.
- Liebson PR, Grandits GA, Dianzumba S, et al. Comparison of five antihypertensive monotherapies and placebo for change in left ventricular mass in patients receiving nutritional-hygienic therapy in the Treatment of Mild Hypertension Study (TOMHS). Circulation. 1995; 91(3): 698–706.
- Greenberg BH, Massie BM, Brundage BH, et al. Beneficial effects of hydralazine in severe mitral regurgitation. Circulation. 1978; 58(2): 273–279.
- Chatterjee K, Parmley WW, Swan HJ, et al. Beneficial effects of vasodilator agents in severe mitral regurgitation due to dysfunction of subvalvar apparatus. Circulation. 1973; 48(4): 684–690.
- Jia Z, Tian W, Liu W, et al. Are the elderly more vulnerable to psychological impact of natural disaster? A population-based survey of adult survivors of the 2008 Sichuan earthquake. BMC Public Health. 2010; 10: 172.
- Kuwabara H, Shioiri T, Toyabe SI, et al. Factors impacting on psychological distress and recovery after the 2004 Niigata-Chuetsu earthquake, Japan: community-based study. Psychiatry Clin Neurosci. 2008; 62(5): 503–507.
- 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.
- Kario K, Ohashi T. After a major earthquake, stroke death occurs more frequently than coronary heart disease death in very old subjects. J Am Geriatr Soc. 1998; 46(4): 537–538.
- Aoki T, Takahashi J, Fukumoto Y, et al. The Great East Japan Earthquake Disaster and cardiovascular diseases. Eur Heart J. 2012; 33(22): 2796–2803.
- Neria Y, Nandi A, Galea S. Post-traumatic stress disorder following disasters: a systematic review. Psychol Med. 2008; 38(4): 467–480.
- Onose T, Nochioka K, Sakata Y, et al. CHART-2 Investigators. Predictors and prognostic impact of post-traumatic stress disorder after the great East Japan earthquake in patients with cardiovascular disease. Circ J. 2015; 79(3): 664–667.
- Shiozaki M, Iso H, Ohira T, et al. Longitudinal risk of cardiovascular events in relation to depression symptoms after discharge among survivors of myocardial infarction. Osaka Acute Coronary Insufficiency Study. Circ J. 2011; 75(12): 2878–2884.
- Sumner JA, Kubzansky LD, Elkind MSV, et al. Trauma Exposure and Posttraumatic Stress Disorder Symptoms Predict Onset of Cardiovascular Events in Women. Circulation. 2015; 132(4): 251–259.
- Cooke JE, Eirich R, Racine N, et al. Prevalence of posttraumatic and general psychological stress during COVID-19: A rapid review and meta-analysis. Psychiatry Res. 2020; 292: 113347.
- Chamberlain SR, Grant JE, Trender W, et al. Post-traumatic stress disorder symptoms in COVID-19 survivors: online population survey. BJPsych Open. 2021; 7(2): e47.