Circadian variation of acute myocardial infarction in young people

Abstract Aims The aim was to investigate the circadian and weekly variation in Chinese young patients with acute myocardial infarction (AMI). Methods This was a 10-year retrospective cohort study. We studied patients (>18 to

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Veröffentlicht in:The American journal of emergency medicine 2012-10, Vol.30 (8), p.1461-1465
Hauptverfasser: Chan, Chia-Meng, MD, Chen, Wei-Lung, MD, PhD, Kuo, Hung-Yi, MD, Huang, Chien-Cheng, MD, Shen, Ying-Sheng, MD, Choy, Cheuk-Sing, MD, PhD, Chen, Jiann-Hwa, MD
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container_end_page 1465
container_issue 8
container_start_page 1461
container_title The American journal of emergency medicine
container_volume 30
creator Chan, Chia-Meng, MD
Chen, Wei-Lung, MD, PhD
Kuo, Hung-Yi, MD
Huang, Chien-Cheng, MD
Shen, Ying-Sheng, MD
Choy, Cheuk-Sing, MD, PhD
Chen, Jiann-Hwa, MD
description Abstract Aims The aim was to investigate the circadian and weekly variation in Chinese young patients with acute myocardial infarction (AMI). Methods This was a 10-year retrospective cohort study. We studied patients (>18 to
doi_str_mv 10.1016/j.ajem.2011.11.019
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Methods This was a 10-year retrospective cohort study. We studied patients (&gt;18 to &lt;45 years of age) with a first attack of AMI from the emergency departments of 3 university teaching hospitals in Taiwan from January 1, 2001, to December 31, 2010. We analyzed patients in the standard circadian fashion using 6-hour intervals (00:01-06:00, 06:01-12:00, 12:01-18:00, and 18:01-24:00). We also did an analysis by day of week. Results The database had 505 patients with AMI with complete data. The percentage of total AMIs that occurred in the 6-hour intervals were as follows: 00:01 to 06:00, 30.9%; 06:01 to 12:00, 23.4%; 12:01 to 18:00, 25.9%; and 18:01 to 24:00, 19.8%. The percentage of AMIs between 00:01 and 06:00 was significant higher compared with that in the other three 6-hour intervals ( df = 3, χ2 = 91.7, P &lt; .001). However, there was no significant weekly variation for these patients in the present study. Conclusions There was a significant circadian variation with a peak from 00:01 to 06:00 in Chinese young patients with AMI. However, there was no significant weekly variation in these patients. The circadian periodicity may create new possibilities for disease prevention and medication prescription.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2011.11.019</identifier><identifier>PMID: 22244223</identifier><identifier>CODEN: AJEMEN</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Angina pectoris ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular disease ; Chi-Square Distribution ; Circadian Rhythm ; Coronary heart disease ; Coronary vessels ; Emergency ; Emergency medical care ; Emergency Service, Hospital - statistics &amp; numerical data ; Female ; Heart ; Heart attacks ; Humans ; Intensive care medicine ; Male ; Medical sciences ; Myocardial infarction ; Myocardial Infarction - epidemiology ; Retrospective Studies ; Risk Factors ; Studies ; Taiwan - epidemiology ; Young Adult</subject><ispartof>The American journal of emergency medicine, 2012-10, Vol.30 (8), p.1461-1465</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-e7fda8c6f292f9cb6a51e77d367821a8ce3e6b4427b3ec15d1f50045955a1c1d3</citedby><cites>FETCH-LOGICAL-c469t-e7fda8c6f292f9cb6a51e77d367821a8ce3e6b4427b3ec15d1f50045955a1c1d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1082295786?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72341</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=26425842$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22244223$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chan, Chia-Meng, MD</creatorcontrib><creatorcontrib>Chen, Wei-Lung, MD, PhD</creatorcontrib><creatorcontrib>Kuo, Hung-Yi, MD</creatorcontrib><creatorcontrib>Huang, Chien-Cheng, MD</creatorcontrib><creatorcontrib>Shen, Ying-Sheng, MD</creatorcontrib><creatorcontrib>Choy, Cheuk-Sing, MD, PhD</creatorcontrib><creatorcontrib>Chen, Jiann-Hwa, MD</creatorcontrib><title>Circadian variation of acute myocardial infarction in young people</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Abstract Aims The aim was to investigate the circadian and weekly variation in Chinese young patients with acute myocardial infarction (AMI). Methods This was a 10-year retrospective cohort study. We studied patients (&gt;18 to &lt;45 years of age) with a first attack of AMI from the emergency departments of 3 university teaching hospitals in Taiwan from January 1, 2001, to December 31, 2010. We analyzed patients in the standard circadian fashion using 6-hour intervals (00:01-06:00, 06:01-12:00, 12:01-18:00, and 18:01-24:00). We also did an analysis by day of week. Results The database had 505 patients with AMI with complete data. The percentage of total AMIs that occurred in the 6-hour intervals were as follows: 00:01 to 06:00, 30.9%; 06:01 to 12:00, 23.4%; 12:01 to 18:00, 25.9%; and 18:01 to 24:00, 19.8%. The percentage of AMIs between 00:01 and 06:00 was significant higher compared with that in the other three 6-hour intervals ( df = 3, χ2 = 91.7, P &lt; .001). However, there was no significant weekly variation for these patients in the present study. Conclusions There was a significant circadian variation with a peak from 00:01 to 06:00 in Chinese young patients with AMI. However, there was no significant weekly variation in these patients. The circadian periodicity may create new possibilities for disease prevention and medication prescription.</description><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Angina pectoris</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Chi-Square Distribution</subject><subject>Circadian Rhythm</subject><subject>Coronary heart disease</subject><subject>Coronary vessels</subject><subject>Emergency</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital - statistics &amp; numerical data</subject><subject>Female</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Studies</subject><subject>Taiwan - epidemiology</subject><subject>Young Adult</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kk2LFDEQhoMo7rj6BzxIgwheekyl89ENsqCDX7DgQQVvIZOuSNruZEy6F-bfm3ZGF_YgFORQz1t566UIeQp0CxTkq2FrBpy2jAJsS1Ho7pENiIbVLSi4TzZUNaKWSqgL8ijngRaQC_6QXDDGOGes2ZC3O5-s6b0J1Y1J3sw-hiq6ythlxmo6RmtS6Y6VD84k-6ftQ3WMS_hRHTAeRnxMHjgzZnxyfi_Jt_fvvu4-1tefP3zavbmuLZfdXKNyvWmtdKxjrrN7aQSgUn0jVcugdLBBuS-21L5BC6IHJyjlohPCgIW-uSQvT3MPKf5aMM968tniOJqAcckaaAutoq3iBX1-Bx3ikkJxt1KMdUK1slDsRNkUc07o9CH5yaRjgfSasB70mrBeE9alSsJF9Ow8etlP2P-T_I20AC_OgMnWjC6ZYH2-5SRnouWscK9PHJbMbjwmna3HYLH3Ce2s--j_7-PqjtyOPvjy4088Yr7dV2emqf6y3sJ6CgCUCsm_N78BjnOs7Q</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Chan, Chia-Meng, MD</creator><creator>Chen, Wei-Lung, MD, PhD</creator><creator>Kuo, Hung-Yi, MD</creator><creator>Huang, Chien-Cheng, MD</creator><creator>Shen, Ying-Sheng, MD</creator><creator>Choy, Cheuk-Sing, MD, PhD</creator><creator>Chen, Jiann-Hwa, MD</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20121001</creationdate><title>Circadian variation of acute myocardial infarction in young people</title><author>Chan, Chia-Meng, MD ; Chen, Wei-Lung, MD, PhD ; Kuo, Hung-Yi, MD ; Huang, Chien-Cheng, MD ; Shen, Ying-Sheng, MD ; Choy, Cheuk-Sing, MD, PhD ; Chen, Jiann-Hwa, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-e7fda8c6f292f9cb6a51e77d367821a8ce3e6b4427b3ec15d1f50045955a1c1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Angina pectoris</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Chi-Square Distribution</topic><topic>Circadian Rhythm</topic><topic>Coronary heart disease</topic><topic>Coronary vessels</topic><topic>Emergency</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital - statistics &amp; numerical data</topic><topic>Female</topic><topic>Heart</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Studies</topic><topic>Taiwan - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chan, Chia-Meng, MD</creatorcontrib><creatorcontrib>Chen, Wei-Lung, MD, PhD</creatorcontrib><creatorcontrib>Kuo, Hung-Yi, MD</creatorcontrib><creatorcontrib>Huang, Chien-Cheng, MD</creatorcontrib><creatorcontrib>Shen, Ying-Sheng, MD</creatorcontrib><creatorcontrib>Choy, Cheuk-Sing, MD, PhD</creatorcontrib><creatorcontrib>Chen, Jiann-Hwa, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chan, Chia-Meng, MD</au><au>Chen, Wei-Lung, MD, PhD</au><au>Kuo, Hung-Yi, MD</au><au>Huang, Chien-Cheng, MD</au><au>Shen, Ying-Sheng, MD</au><au>Choy, Cheuk-Sing, MD, PhD</au><au>Chen, Jiann-Hwa, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Circadian variation of acute myocardial infarction in young people</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2012-10-01</date><risdate>2012</risdate><volume>30</volume><issue>8</issue><spage>1461</spage><epage>1465</epage><pages>1461-1465</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><coden>AJEMEN</coden><abstract>Abstract Aims The aim was to investigate the circadian and weekly variation in Chinese young patients with acute myocardial infarction (AMI). Methods This was a 10-year retrospective cohort study. We studied patients (&gt;18 to &lt;45 years of age) with a first attack of AMI from the emergency departments of 3 university teaching hospitals in Taiwan from January 1, 2001, to December 31, 2010. We analyzed patients in the standard circadian fashion using 6-hour intervals (00:01-06:00, 06:01-12:00, 12:01-18:00, and 18:01-24:00). We also did an analysis by day of week. Results The database had 505 patients with AMI with complete data. The percentage of total AMIs that occurred in the 6-hour intervals were as follows: 00:01 to 06:00, 30.9%; 06:01 to 12:00, 23.4%; 12:01 to 18:00, 25.9%; and 18:01 to 24:00, 19.8%. The percentage of AMIs between 00:01 and 06:00 was significant higher compared with that in the other three 6-hour intervals ( df = 3, χ2 = 91.7, P &lt; .001). However, there was no significant weekly variation for these patients in the present study. Conclusions There was a significant circadian variation with a peak from 00:01 to 06:00 in Chinese young patients with AMI. However, there was no significant weekly variation in these patients. The circadian periodicity may create new possibilities for disease prevention and medication prescription.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22244223</pmid><doi>10.1016/j.ajem.2011.11.019</doi><tpages>5</tpages></addata></record>
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subjects Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Angina pectoris
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular disease
Chi-Square Distribution
Circadian Rhythm
Coronary heart disease
Coronary vessels
Emergency
Emergency medical care
Emergency Service, Hospital - statistics & numerical data
Female
Heart
Heart attacks
Humans
Intensive care medicine
Male
Medical sciences
Myocardial infarction
Myocardial Infarction - epidemiology
Retrospective Studies
Risk Factors
Studies
Taiwan - epidemiology
Young Adult
title Circadian variation of acute myocardial infarction in young people
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