{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T05:54:59Z","timestamp":1781762099457,"version":"3.54.5"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Conflict and disaster settings are increasingly recognized as triggers for acute cardiovascular events; however, little attention has been given to civilian populations exposed to intermittent conflict alerts in non-war environments. This Perspective highlights the potential for alert-associated cardiovascular events, including overt myocardial infarction and subclinical myocardial injury, in Gulf host populations with high baseline cardiometabolic risk. Drawing on evidence from conflict and disaster literature, we propose that acute stress responses triggered by missile alerts or security warnings may precipitate arrhythmias and acute coronary syndromes within short temporal windows. We further argue that current surveillance systems are not designed to detect such transient events due to the lack of integration between alert timelines and cardiovascular data. The Gulf\u2019s advanced digital health infrastructure presents a unique opportunity to develop time-linked cardiovascular monitoring through the integration of civil defence alerts, hospital registries, and wearable technologies. Addressing this gap could transform an under-recognized cardiovascular risk into a measurable and preventable component of public health preparedness. Future research should focus on defining diagnostic criteria, improving data integration, and ensuring equitable inclusion of migrant populations.<\/jats:p>","DOI":"10.3389\/fpubh.2026.1843211","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T05:30:23Z","timestamp":1781760623000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Alert-associated cardiovascular events in Gulf civilian populations: emerging risks and surveillance opportunities"],"prefix":"10.3389","volume":"14","author":[{"given":"Hassa","family":"Iftikhar","sequence":"first","affiliation":[{"name":"Department of Cardiology, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, Hubei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"100321","DOI":"10.1016\/j.jmh.2025.100321","article-title":"Research priorities for cardiometabolic syndrome in humanitarian settings: a global consensus-based agenda","volume":"11","author":"Akik","year":"2025","journal-title":"J Migr Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s12928-021-00829-9","article-title":"Pathophysiology and management considerations in AMI (within CVIT consensus)","volume":"37","author":"Ozaki","year":"2022","journal-title":"Cardiovasc Interv Ther"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1133313","DOI":"10.3389\/fpubh.2023.1130716","article-title":"Cardiovascular health research priorities in the United Arab Emirates","volume":"11","author":"Ghader","year":"2023","journal-title":"Front Public Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1016\/j.cjco.2024.12.001","article-title":"An international perspective on priority areas for women\u2019s cardiovascular health research","volume":"7","author":"Matthews","year":"2024","journal-title":"CJC Open"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e033096","DOI":"10.1136\/bmjopen-2020-038439","article-title":"Health and well-being issues of Nepalese migrant workers in the Gulf cooperation council countries and Malaysia: a systematic review","volume":"10","author":"Paudyal","year":"2020","journal-title":"BMJ Open"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e38","DOI":"10.1097\/01.mej.0000697820.03632.98","article-title":"Out-of-hospital cardiac arrests in the Gulf region: a scoping review","volume":"27","author":"Batt","year":"2020","journal-title":"Eur J Emerg Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1388","DOI":"10.1136\/heartjnl-2018-314459","article-title":"Impact of armed conflict on cardiovascular disease risk: a systematic review","volume":"105","author":"Jawad","year":"2019","journal-title":"Heart"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1038\/s41746-022-00734-2","article-title":"The evolution of digital health technologies in cardiovascular disease research","volume":"6","author":"Zwack","year":"2023","journal-title":"NPJ Digit Med"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.puhe.2025.02.026","article-title":"Prevalence of atherosclerotic cardiovascular disease in people with type 2 diabetes in the Gulf region: PACT-MEA sub-analysis","volume":"242","author":"Alkandari","year":"2025","journal-title":"Public Health"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1843211\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T05:30:24Z","timestamp":1781760624000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1843211\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,18]]},"references-count":9,"alternative-id":["10.3389\/fpubh.2026.1843211"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1843211","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,18]]},"article-number":"1843211"}}