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Increased prevalence of atrial fibrillation after the Great East Japan Earthquake: Results from the Fukushima Health Management Survey.

Abstract：

BACKGROUND:Previous studies have shown that control of cardiovascular risk factors deteriorates among residents after a natural disaster. This study assessed the hypothesis that the prevalence of atrial fibrillation (AF) increased among residents in the evacuation zone of Fukushima prefecture after the Great East Japan Earthquake. METHODS AND RESULTS:This longitudinal study examined subjects aged 40-90 years using data collected from 26,163 participants (11,628 men and 14,535 women) sourced from general health checkups conducted in twelve communities, including the evacuation zone specified by the government, between 2008 and 2010. The study obtained 12-lead ECG tracings and conducted follow-up examinations from June 2011 to the end of March 2013. A total of 12,410 participants (5704 men and 6706 women, follow-up proportion: 47%) received follow-up examinations after the earthquake, with an average follow-up of 1.4 years. The prevalence of AF increased among participants after the earthquake (before: 1.9% vs. after: 2.4%, P<.001). During the follow-up period, 79 incidences of AF occurred among participants. Excess ethanol intake (≥44 g/day) and obesity showed associations with an increased risk of AF after the earthquake, with multivariable-adjusted hazard ratios (95% confidence interval) of 3.07 (1.55-6.08) and 1.87 (1.19-2.94), respectively. CONCLUSIONS:The prevalence of AF increased among residents in the evacuation zone of Fukushima prefecture after the Great East Japan Earthquake, with excess alcohol intake and obesity associated with an increased risk of AF.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Suzuki H,Ohira T,Takeishi Y,Hosoya M,Yasumura S,Satoh H,Kawasaki Y,Takahashi A,Sakai A,Ohtsuru A,Kobashi G,Ozasa K,Yamashita S,Kamiya K,Abe M,Fukushima Health Management Survey Group.

doi

10.1016/j.ijcard.2015.06.151

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

102-5

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(15)30095-4

journal_volume

198

pub_type

杂志文章

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Increased prevalence of atrial fibrillation after the Great East Japan Earthquake: Results from the Fukushima Health Management Survey.