| Chronobiology of acute myocardial infarction: cardiac arrhythmia suppression trial (CAST) experience. | |
| | |
MedLine Citation:
|
PMID: 8960574 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The onset of acute myocardial infarction (AMI) has been shown to occur in a reproducible pattern with a peak in mid-morning and a secondary peak in late afternoon and early evening. More detailed information on the timing of this catastrophic event may provide important pathophysiologic information. Using the database from the Holter Registry of the Cardiac Arrhythmia Suppression Trial (CAST) (n = 22,516), the day of the week, the month, and season of the onset of AMI was obtained and correlated with demographic characteristics. The pattern of the day of onset for the entire population was significantly nonuniform (p <0.0001) with a Monday peak and a weekend nadir. This pattern was observed in most of the examined subgroups. Analysis of seasonal data revealed nonuniform distribution (p <0.001) with a peak in winter and autumn. We conclude that AMI is not a random event but occurs in definite patterns related to the day of the week and the season of the year. These patterns were observed in a wide variety of patient subgroups and appear related to climate, occupation, and other factors. |
| | |
Authors:
|
R W Peters; M M Brooks; R G Zoble; P R Liebson; A A Seals |
Related Documents
:
|
12135204 - No covariation between the geomagnetic activity and the incidence of acute myocardial i... 16464904 - Is technological change in medicine always worth it? the case of acute myocardial infar... 10410004 - Reducing patient delay in seeking treatment for acute myocardial infarction. 12715844 - Effects of angiotensin-converting enzyme inhibitor therapy on qt dispersion post acute ... 8750554 - Bilateral suppression of the sympathetic nervous system in hemispheric brain infarction. 12607194 - P wave morphology during spontaneous and paced pulmonary vein activity: differences bet... |
Publication Detail:
|
Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: The American journal of cardiology Volume: 78 ISSN: 0002-9149 ISO Abbreviation: Am. J. Cardiol. Publication Date: 1996 Dec |
Date Detail:
|
Created Date: 1997-01-10 Completed Date: 1997-01-10 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0207277 Medline TA: Am J Cardiol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1198-201 Citation Subset: AIM; IM |
Affiliation:
|
Department of Medicine, Baltimore Department of Veterans Affairs Medical Center and the University of Maryland, 21201, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Arrhythmias, Cardiac
/
diagnosis,
etiology,
prevention & control* Chi-Square Distribution Cohort Studies Electrocardiography, Ambulatory Employment Female Humans Male Middle Aged Myocardial Infarction / complications, physiopathology* Periodicity* Seasons |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Early and six-month outcome in patients with angina pectoris early after acute myocardial infarction...
Next Document: Computerized assessment of coronary lumen and atherosclerotic plaque dimensions in three-dimensional...