Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: Acute physical and psychological
stress may provoke cardiovascular events, and although earthquake-associated
increases in sudden death and acute myocardial infarction have been reported,1,2 the effect of such conditions is unknown
for stress-induced cardiomyopathy (Takotsubo cardiomyopathy).3,4 On
October 23, 2004, central Niigata, Japan, was shaken by a series of 3 strong
earthquakes, with about 90 large aftershocks during the following week.
Watanabe H, Kodama M, Okura Y, Aizawa Y, Tanabe N, Chinushi M, Nakamura Y, Nagai T, Sato M, Okabe M. Impact of Earthquakes on Takotsubo Cardiomyopathy. JAMA. 2005;294(3):303-307. doi:10.1001/jama.294.3.305