prevalence of cardiovascular diseases following man-made disasters; a systematic review

Objective: disasters increase the incidence of infectious and contagious diseases, non-communicable diseases, and trauma. this systematic review aims to investigate the impact of man-made disasters on cardiovascular diseases (cvds). methods: this is a systematic review conducted following the prisma protocol. the population, intervention, control, outcome (pico) framework utilized for this research is as follows: p: people with cvds; i: various man-made disasters; c: no intervention is being compared; o: prevalence, treatment, and management of the disease. in the present study, english-language articles published until november 9, 2022 that investigated cvds in human-made disasters were included. we conducted an extensive search in medline, web of science, embase, and scopus. results: the primary search of the databases resulted in 1878 articles, from which 1219 non-duplicate records. finally, 18 articles were included; 13 studies were in the area of nuclear and atomic accidents, four studies were related to the sulfur mustard gas, and one was related to methyl chloride. conclusion: cvds increased in prevalence after man-made disasters, particularly among high-risk individuals. the likelihood of developing cvds is higher with increasing dose, intensity, and duration of exposure.