Impact of the earthquake disaster in Türkiye on the use of cardiac implantable electronic devices and clinical presentation of patients
Öz
Purpose: The aim of this study is to investigate the effects of the earthquake on the indication for cardiac implantable electronic devices (CIED) and whether it had an effect on the hospitalization clinics of the patients in our cardiology clinic in Hatay province of Türkiye.
Materials and Methods: A total of 186 consecutive patients who underwent an CIED (CRT, ICD, VVIR/DDDR) implantation in our clinic in the 1-year period before (n=120) and after the earthquake (n=66) were retrospectively included in our study.
Results: CIED rates were similar between the pre- and post-earthquake groups. Cardiac devices were not implanted in our clinic during the first 3 months after the earthquake. The severity of coronary artery disease and the rates of previous interventional coronary procedures were similar between the pre- and post-earthquake groups. New York Heart Association (NYHA) class was significantly higher in the pre-earthquake group compared to the post-earthquake group (NYHA III-IV rates were 24.3% and 9.4%, respectively). Complication and mortality rates after CIED implantation before and after the earthquake were similar.
Conclusion: Although the devastating earthquake reduced the number of CIED implantations in our clinic, the rates were similar. Patient groups with decompensated heart failure findings were detected less frequently after the earthquake.
Anahtar Kelimeler
Kaynakça
- Keven K, Ates K, Sever MS, Yenicesu M, Canbakan B, Arinsoy T et al. Infectious complications after mass disasters: the Marmara earthquake experience. Scand J Infect Dis. 2003;35:110-3.
- Nakano M, Kondo M, Wakayama Y, Kawana A, Hasebe Y, Shafee MA et al. Increased incidence of tachyarrhythmias and heart failure hospitalization in patients with implanted cardiac devices after the great East Japan earthquake disaster. Circ J. 2012;76:1283-5.
- Akkuş O, Yasdıbaş R, Demirkıran RF, Elitaş V, Bekler Ö, Şen F et al. Changes in acute coronary syndrome clinic after the devastating earthquake in Türkiye. Anatol J Cardiol. 2024;28 446-53.
- Glikson M, Nielsen JC, Kronborg MB, Michowitz Y, Auricchio A, Barbash IM et al. ESC Scientific Document Group. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021;42:3427-520.
- White PD, Myers MM. The classification of cardiac diagnosis. JAMA. 1921;77:1414-5.
- Nielsen JC, Thomsen PE, Højberg S, Møller M, Vesterlund T, Dalsgaard D et al. A comparison of single-lead atrial pacing with dual-chamber pacing in sick sinus syndrome. Eur Heart J. 2011;32:686-96.
- Al-Khatib SM, Stevenson WG, Ackerman MJ, Bryant WJ, Callans DJ, Curtis AB et al. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2018;138:272-391.
- Vancheri F, Longo G, Vancheri E, Henein MY. Mental stress and cardiovascular health-Part I. J Clin Med. 2022;11:3353.
- Bartels SA, VanRooyen MJ. Medical complications associated with earthquakes. Lancet. 2012;379:748-57.
- Katsouyanni K, Kogevinas M, Trichopoulos D. Earthquake-related stress and cardiac mortality. Int J Epidemiol. 1986;15:326-30.
