Abstract 191: Increase of Prevalence of Acute Myocardium Infarction and Sudden Death Due to the Environmental Tragedy in South of Brazil.
Introduction: Some data have been demonstrating the relation between myocardium infarction, sudden death and catastrophes in USA, Europe and Asia. In November 2008, Blumenau — South of Brazil occurred one of the biggest environmental tragedies. There were floods, 300 enormous landslides, destruction of 5.000 residences and 137 deaths.
Hypothesis: We accessed the hypothesis that in Brazil the population stress could trigger Acute Myocardium Infarction, therefore increasing the incidence of hospital admissions related to Acute Myocardium Infarction, and could also trigger Sudden Cardiac Death, therefore also increasing its incidence.
Methods: The medical records handbooks of the three hospitals of the region affected by the tragedy were revised, before and after the event (period from the 1st of May 2008 to the 30th of April 2009), month by month, for 6 months, to assess the total number of patients in hospital for Acute Myocardium Infarction (AMI). A survey of the number of sudden deaths (SD) was also carried out, before the official organ, month by month in non-hospital environment for the exact same period.
Results: Three hundred and fifty-five hospital admissions due to Acute Myocardium Infarction and 198 sudden deaths in non-hospital environment, throughout the analyzed period. Throughout the whole month of November 2008, period when the environmental tragedy in the South of Brazil occurred, it was observed an increase of 48%, in number of hospital admissions due to Acute Myocardium Infarction in regard to the monthly average (40 against 28 cases). There was also an increase of 31% of sudden deaths in non-hospital environment (21 against 16 cases).
Conclusions: We observed an increase of prevalence of acute myocardium infarction and sudden death in Brazil associated with big tragedies like in the USA, Europe and Asia.
- © 2010 by American Heart Association, Inc.