Department of Medicine, Minamisanriku Public Medical Clinic, Numada, Shizugawa, Minamisanriku, Motoyoshi-gun, Miyagi, Japan.
Curr Hypertens Rep. 2012 Oct;14(5):375-81. doi: 10.1007/s11906-012-0298-z.
After a major disaster, such as the East Japan Earthquake with ensuing tsunami and nuclear accident in March 2011, there is typically a spike in cardiovascular disease onset due to increased blood pressure and hypercoagulability. The risk of cardiovascular disease after an earthquake can be reduced by understanding the characteristics of these risks and taking appropriate preventive and remedial measures. During the East Japan Earthquake disaster, Disaster Cardiovascular Prevention (DCAP) Risk Scores (0-6 points; goal ≤4 points)/Prevention Scores (0-8 points; goal ≥ 6 points) were used to identify patients at risk at shelters and then safeguard their living conditions, chiefly by monitoring blood pressure and offering appropriate lifestyle guidance as well as treatment. By quickly reducing elevated blood pressures and then assuring stable control we could prevent the mortality and morbidity associated with disaster hypertension. This paper reviews the disaster-related mechanisms that induce cardiovascular disease and introduces the DCAP system and four typical cases in which it intervened.
在重大灾害（如 2011 年 3 月的东日本地震及后续海啸和核事故）后，由于血压升高和血液高凝状态，心血管疾病的发病通常会出现高峰。通过了解这些风险的特征并采取适当的预防和补救措施，可降低地震后的心血管疾病风险。在东日本地震灾害期间，使用灾害心血管预防（DCAP）风险评分（0-6 分；目标≤4 分）/预防评分（0-8 分；目标≥6 分）来识别避难所中处于危险中的患者，然后保障他们的生活条件，主要是通过监测血压并提供适当的生活方式指导以及治疗。通过迅速降低升高的血压，然后确保稳定的控制，我们可以预防与灾害性高血压相关的死亡率和发病率。本文综述了引发心血管疾病的与灾害相关的机制，并介绍了 DCAP 系统和其中四个典型案例的干预情况。
