1983
DOI: 10.1016/s0140-6736(83)91439-3
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Psychological Stress and Fatal Heart Attack: The Athens (1981) Earthquake Natural Experiment

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Cited by 355 publications
(171 citation statements)
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“…There have been a few reports of increases of the number of coronary heart disease (CHD) deaths and of changes in cardiovascular risk factors after a major earthquake [3][4][5][6][7][8]. Immediate and appropriate practice based on disaster medicine is required.…”
mentioning
confidence: 99%
“…There have been a few reports of increases of the number of coronary heart disease (CHD) deaths and of changes in cardiovascular risk factors after a major earthquake [3][4][5][6][7][8]. Immediate and appropriate practice based on disaster medicine is required.…”
mentioning
confidence: 99%
“…The meaning of increased CAVI just after an earthquake was unclear until now, but, it has been reported that cardiovascular events increased after a major disaster [1][2][3][4] . We therefore investigated the incidence of death rates in our town.…”
Section: Discussionmentioning
confidence: 99%
“…It is known that the frequency of cardiovascular events increases just after a huge earthquake [1][2][3] . When the Hanshin-Awaji earthquake, magnitude 7.2, occurred in 1995, an epidemiological survey about cardiovascular events was made by Kario. He reported that earthquake-induced stress increased blood pressure and blood viscosity determinants in a group of hypertensive elderly subjects 4,5) .…”
Section: Introductionmentioning
confidence: 99%
“…Evidence for a role of brain and higher centres in modulating autonomic control and arrhythmogenesis Evidence for a role of brain and higher centres in ventricular arrhythmias and sudden death includes anecdotal reports throughout the ages of an association with mental stress [4,5]; an increase in sudden cardiac death at the time of national disasters such as earthquakes [6][7][8][9]; magnification of the proarrhythmic effects of ischaemia in animal models by mental stress [10], and the prevention of stress induced VF by fronto-amygdala brain section [11]; a protective effect of vagal stimulation against stress-induced arrhythmias in dogs; a potentiating effect of anger on ventricular arrhythmias [10,12,13]; the protective effect of centrally acting beta blockade; and the precipitation of VF in channelopathies such as long-QT syndrome by emotion.…”
Section: Autonomic Control Of the Heart As A Closed Loop Systemmentioning
confidence: 99%