Document Detail


Changing chronobiology of cardiovascular outcome following prophylaxis.
MedLine Citation:
PMID:  17593669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cardiovascular events like angina, myocardial infarction and stroke have shown an increasing occurrence in the morning hours. We did this pilot nested case control study to see for any change in the time pattern of occurrence of cardiovascular events among patients on prophylaxis. A pilot study was done and the demographic characters, history of cardiovascular diseases, time of occurrence of cardiovascular event, history of drug intake and compliance were noted. Eighty four patients on prophylaxis and 135 patients presenting for the first time reported during the study period. Age did not show any significant difference. More males were getting prophylaxis for stroke and for the combined cardiovascular events. Time distribution of events showed peak occurrence between 8 to 12 hr followed by 20 to 24 hr among those who were not on prophylaxis and reverse in those on secondary prophylaxis. Odds of developing cardiovascular events though was not significantly different, was higher between 16-20 hr (1.26), 20-24 hr (1.48) and 0-4 hr (1.22) among those on prophylaxis. Seventy eight patients were taking antihypertensives. This observation demands further studies to determine the cause of evening increase in cardiovascular event especially since very little is known regarding evening exaggeration of risk factors which is becoming relevant especially in those getting prophylaxis.
Authors:
Vinu Mulavarickal Jose; Navneet Sharma; Debasish Hota; Promila Pandhi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nepal Medical College journal : NMCJ     Volume:  9     ISSN:  -     ISO Abbreviation:  Nepal Med Coll J     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-06-27     Completed Date:  2007-11-02     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  101129937     Medline TA:  Nepal Med Coll J     Country:  Nepal    
Other Details:
Languages:  eng     Pagination:  1-5     Citation Subset:  IM    
Affiliation:
Department of Pharmacology, PGIMER, Chandigarh 160012, India. vishnujose@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Antihypertensive Agents / therapeutic use*
Cardiovascular Diseases / drug therapy*,  epidemiology,  prevention & control*
Case-Control Studies
Chronobiology Phenomena*
Female
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
Male
Middle Aged
Pilot Projects
Platelet Aggregation Inhibitors / therapeutic use*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antihypertensive Agents; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Platelet Aggregation Inhibitors

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