Document Detail


Monday preference in onset of takotsubo cardiomyopathy.
MedLine Citation:
PMID:  20637389     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Acute cardiovascular events show definite temporal patterns of occurrence. Takotsubo cardiomyopathy (TTC) has been recently shown to exhibit a seasonal (summer) and circadian (morning) temporal distribution. The aim of this study, based on the database of a multicenter Italian network, was to investigate the possible existence of a weekly pattern of onset of TTC. METHODS: The study included all cases of TTC admitted to the coronary care unit of 8 referral cardiac centers in Italy (five in Southern Italy and three in Northern Italy, respectively), belonging to the Takotsubo Italian Network (January 2002-December 2008). Day of admission was categorized into seven 1-day intervals according by week, and chronobiological analysis was performed by partial Fourier series. RESULTS: The database included 112 patients with TTC (92.9% females). The weekly distribution identified the highest number of cases on Monday and the lowest on Saturday. Chronobiologic analysis yielded a rhythmic pattern with a significant peak on Monday (P = .036). CONCLUSIONS: This study confirms a Monday preference for TTC occurrence on Monday, similar to that reported for acute myocardial infarction. Stress of starting weekly day life activities, could play a triggering role.
Authors:
Roberto Manfredini; Rodolfo Citro; Mario Previtali; Olga Vriz; Quirino Ciampi; Marco Pascotto; Ercole Tagliamonte; Gennaro Provenza; Fabio Manfredini; Eduardo Bossone;
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2010-02-25
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  28     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  715-9     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Clinical and Experimental Medicine, Clinica Medica and Vascular Diseases Center, University of Ferrara, 44100 Ferrara, Italy. mfr@unife.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Cohort Studies
Coronary Care Units
Emergency Service, Hospital
Female
Hospitalization
Humans
Incidence
Italy
Male
Middle Aged
Periodicity*
Retrospective Studies
Risk Factors
Sex Factors
Takotsubo Cardiomyopathy / complications,  diagnosis,  epidemiology*
Investigator
Investigator/Affiliation:
R Citro / ; E Bossone / ; M M Patella / ; G Provenza / ; G Gregorio / ; M Previtali / ; O Vriz / ; Q Ciampi / ; C Astarita / ; M Pascotto / ; E Tagliamonte / ; M Piepoli / ; C Armentano / ; R Manfredini / ; F Manfredini / ; B Boari / ; R Salmi / ; M Gallerani /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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