Akkuş Oğuz, Yadsıbaş Ramazan, Demirkıran Ramazan Furkan, Elitaş Veysel, Bekler Özkan, Şen Fatih, Binokay Hülya, Akkuş Gamze, Okuyan Ertuğrul
Department of Cardiology, Mustafa Kemal University Faculty of Medicine, Antakya, Türkiye.
Department of Biostatistics, Çukurova University Faculty of Medicine, Adana, Türkiye.
Anatol J Cardiol. 2024 Jun 4;28(9):446-53. doi: 10.14744/AnatolJCardiol.2024.4207.
We aimed to investigate the clinical and angiographic characteristics of patients with acute coronary syndrome (ACS) who survived this devastating earthquake and were admitted to our hospital in Antakya/Türkiye.
We retrospectively examined the impact of the earthquake on the occurrences of acute coronary syndromes in Antakya/Türkiye. All 248 consecutive patients with ACS, also survivors of the earthquake in Antakya, were enrolled as the earthquake group. The earthquake group was created from patients hospitalized between February and June in 2023 after the earthquake. In total, 209 consecutive ACS patients who were hospitalized in our cardiology clinic in similar months of 2022 named as the control group.
Patients admitted before the earthquake were more hospitalized with multivessel disease compared to after the earthquake group (P <.001). Myocardial infarction with non-obstructive coronary artery disease (MINOCA) was the main reason for the significant increase rate of ACS after the earthquake. The earthquake patient group had lesser diabetes mellitus than the control group (P <.001). The risk of men suffering from ACS after an earthquake is approximately 2.1 times higher than women (P =.023). Those with a history of revascularization are approximately 1.8 times more likely to have ACS after an earthquake (P =.05). The risk of experiencing ACS after an earthquake is approximately 3.5 times higher for those with a family history than for those without (P <.001).
Effects of the devastating earthquake on the heart are the increase in MINOCA patients triggered by great sudden environmental stress and the decrease in diabetes due to worsening nutritional conditions, respectively.
我们旨在调查在这场毁灭性地震中幸存并被收治于土耳其安塔基亚市我院的急性冠状动脉综合征（ACS）患者的临床和血管造影特征。
我们回顾性研究了地震对土耳其安塔基亚市急性冠状动脉综合征发生率的影响。所有248例连续的ACS患者，也是安塔基亚地震的幸存者，被纳入地震组。地震组由2023年2月至6月地震后住院的患者组成。总共209例在2022年相似月份于我院心内科住院的连续ACS患者被命名为对照组。
与地震后组相比，地震前入院的患者多支血管病变住院率更高（P<.001）。非阻塞性冠状动脉疾病心肌梗死（MINOCA）是地震后ACS显著增加率的主要原因。地震患者组的糖尿病患者比对照组少（P<.001）。地震后男性患ACS的风险比女性高约2.1倍（P=.023）。有血运重建史的人地震后发生ACS的可能性约高1.8倍（P=.05）。有家族史的人地震后发生ACS的风险比无家族史的人高约3.5倍（P<.001）。
这场毁灭性地震对心脏的影响分别是巨大的突发环境压力引发MINOCA患者增加以及营养状况恶化导致糖尿病患者减少。
