Acute myocardial infarction: Circadian, daily, monthly and seasonal patterns of occurrence in diabetics

Background Illustrating the temporal pattern of acute myocardial infarction (AMI), as a major cause of mortality, may help with disease prevention and better treatment. Therefore, the aim of our study was to investigate the circadian, daily, monthly and seasonal patterns of AMI occurrence in patient...

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Veröffentlicht in:Journal of diabetes and metabolic disorders 2021-06, Vol.20 (1), p.765-770
Hauptverfasser: Rouzbahani, Mohammad, Azimivghar, Javad, moghadam, Reza Heidari, Montazeri, Nafiseh, Janjani, Parisa, Rai, Alireza, Rad, Etrat Javadi, Naderipour, Arsalan, Salehi, Nahid
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container_issue 1
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container_title Journal of diabetes and metabolic disorders
container_volume 20
creator Rouzbahani, Mohammad
Azimivghar, Javad
moghadam, Reza Heidari
Montazeri, Nafiseh
Janjani, Parisa
Rai, Alireza
Rad, Etrat Javadi
Naderipour, Arsalan
Salehi, Nahid
description Background Illustrating the temporal pattern of acute myocardial infarction (AMI), as a major cause of mortality, may help with disease prevention and better treatment. Therefore, the aim of our study was to investigate the circadian, daily, monthly and seasonal patterns of AMI occurrence in patients with diabetes mellitus, and other likely associated factors. Methods This cross-sectional study was performed on 142 diabetic patients admitted to the Imam Ali cardiovascular hospital, Kermanshah, Iran with a diagnosis of ST-segment elevation myocardial infarction (STEMI) from March 2018 to February 2019. Data were collected using a checklist developed based on the study goals. One-way Analysis of Variance (ANOVA) and Chi-Square test (or Fishers҆ Exact test) were used to assess the differences between subgroups. Multiple logistic regression model was constructed to evaluate independent predictors of the AMI occurrence. Result Out of the 142 diabetic patients, 90 (63.4%) were male. The mean age of the patients was (mean ± SD) 62.81 ± 10.21 years. Occurrence of STEMI was the most common during winter (p = 0.001). Prior angina, prior congestive heart failure (CHF), prior stroke, High-density lipoprotein (HDL), and Creatine Phosphokinase (CPK) were significantly associated with seasonal pattern of STEMI (p-value 
doi_str_mv 10.1007/s40200-021-00813-3
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Therefore, the aim of our study was to investigate the circadian, daily, monthly and seasonal patterns of AMI occurrence in patients with diabetes mellitus, and other likely associated factors. Methods This cross-sectional study was performed on 142 diabetic patients admitted to the Imam Ali cardiovascular hospital, Kermanshah, Iran with a diagnosis of ST-segment elevation myocardial infarction (STEMI) from March 2018 to February 2019. Data were collected using a checklist developed based on the study goals. One-way Analysis of Variance (ANOVA) and Chi-Square test (or Fishers҆ Exact test) were used to assess the differences between subgroups. Multiple logistic regression model was constructed to evaluate independent predictors of the AMI occurrence. Result Out of the 142 diabetic patients, 90 (63.4%) were male. The mean age of the patients was (mean ± SD) 62.81 ± 10.21 years. Occurrence of STEMI was the most common during winter (p = 0.001). Prior angina, prior congestive heart failure (CHF), prior stroke, High-density lipoprotein (HDL), and Creatine Phosphokinase (CPK) were significantly associated with seasonal pattern of STEMI (p-value &lt; 0.05). Angiotensin receptor blockers (ARBs) use was associated with an increased odds of the AMI occurrence in winter (OR = 8.32; P = 0.027). Conclusion The present study of Iranian patients with diabetes revealed that AMI occurred more frequently during the winter compared to the other seasons. ARBs use was associated with an increased odd of the AMI occurrence in winter.</description><identifier>ISSN: 2251-6581</identifier><identifier>EISSN: 2251-6581</identifier><identifier>DOI: 10.1007/s40200-021-00813-3</identifier><identifier>PMID: 34222090</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Analysis ; Creatine ; Creatine kinase ; Diabetes ; Diabetics ; Endocrinology ; Health aspects ; Heart attack ; Iran ; Medical research ; Medicine ; Medicine &amp; Public Health ; Medicine, Experimental ; Metabolic Diseases ; Mortality ; Research Article</subject><ispartof>Journal of diabetes and metabolic disorders, 2021-06, Vol.20 (1), p.765-770</ispartof><rights>Springer Nature Switzerland AG 2021</rights><rights>Springer Nature Switzerland AG 2021.</rights><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c544t-8a73f2b8b795cdcb8d460c7069ecb01160a5beb40c331e2751a7fde257b9d01a3</citedby><cites>FETCH-LOGICAL-c544t-8a73f2b8b795cdcb8d460c7069ecb01160a5beb40c331e2751a7fde257b9d01a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212248/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212248/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,41469,42538,51300,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34222090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rouzbahani, Mohammad</creatorcontrib><creatorcontrib>Azimivghar, Javad</creatorcontrib><creatorcontrib>moghadam, Reza Heidari</creatorcontrib><creatorcontrib>Montazeri, Nafiseh</creatorcontrib><creatorcontrib>Janjani, Parisa</creatorcontrib><creatorcontrib>Rai, Alireza</creatorcontrib><creatorcontrib>Rad, Etrat Javadi</creatorcontrib><creatorcontrib>Naderipour, Arsalan</creatorcontrib><creatorcontrib>Salehi, Nahid</creatorcontrib><title>Acute myocardial infarction: Circadian, daily, monthly and seasonal patterns of occurrence in diabetics</title><title>Journal of diabetes and metabolic disorders</title><addtitle>J Diabetes Metab Disord</addtitle><addtitle>J Diabetes Metab Disord</addtitle><description>Background Illustrating the temporal pattern of acute myocardial infarction (AMI), as a major cause of mortality, may help with disease prevention and better treatment. Therefore, the aim of our study was to investigate the circadian, daily, monthly and seasonal patterns of AMI occurrence in patients with diabetes mellitus, and other likely associated factors. Methods This cross-sectional study was performed on 142 diabetic patients admitted to the Imam Ali cardiovascular hospital, Kermanshah, Iran with a diagnosis of ST-segment elevation myocardial infarction (STEMI) from March 2018 to February 2019. Data were collected using a checklist developed based on the study goals. One-way Analysis of Variance (ANOVA) and Chi-Square test (or Fishers҆ Exact test) were used to assess the differences between subgroups. Multiple logistic regression model was constructed to evaluate independent predictors of the AMI occurrence. Result Out of the 142 diabetic patients, 90 (63.4%) were male. The mean age of the patients was (mean ± SD) 62.81 ± 10.21 years. Occurrence of STEMI was the most common during winter (p = 0.001). Prior angina, prior congestive heart failure (CHF), prior stroke, High-density lipoprotein (HDL), and Creatine Phosphokinase (CPK) were significantly associated with seasonal pattern of STEMI (p-value &lt; 0.05). Angiotensin receptor blockers (ARBs) use was associated with an increased odds of the AMI occurrence in winter (OR = 8.32; P = 0.027). Conclusion The present study of Iranian patients with diabetes revealed that AMI occurred more frequently during the winter compared to the other seasons. ARBs use was associated with an increased odd of the AMI occurrence in winter.</description><subject>Analysis</subject><subject>Creatine</subject><subject>Creatine kinase</subject><subject>Diabetes</subject><subject>Diabetics</subject><subject>Endocrinology</subject><subject>Health aspects</subject><subject>Heart attack</subject><subject>Iran</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Medicine, Experimental</subject><subject>Metabolic Diseases</subject><subject>Mortality</subject><subject>Research Article</subject><issn>2251-6581</issn><issn>2251-6581</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kkuLFDEUhQtRnGGcP-BCAoK4mBpvUq-0C6FpfMGAG12HW6lb3RlSSZukhP73puxx6AYxWSTkfueE5J6ieMnhlgN072INAqAEwUsAyauyelJcCtHwsm0kf3qyvyiuY7yHPLpOSt4-Ly6qWggBK7gstms9J2LTwWsMg0HLjBsx6GS8e882JmjMp-6GDWjs4YZN3qWdPTB0A4uE0bss2WNKFFxkfmRe6zkEcpqyE8vanpLR8UXxbEQb6fphvSp-fPr4ffOlvPv2-etmfVfqpq5TKbGrRtHLvls1etC9HOoWdAftinQPnLeATU99DbqqOImu4diNA4mm61cDcKyuig9H3_3cTzRocimgVftgJgwH5dGo84ozO7X1v5QUXIhaZoO3DwbB_5wpJjWZqMladOTnqERTyxbyzVVGXx_RLVpS-d98dtQLrtZtm8045wt1-w8qz4Emo72j0eTzM8GbE8GO0KZd9HZeWhLPQXEEdfAxBhofn8lBLSFRx5CoHBL1JyRqEb06_aBHyd9IZKA6AjGX3JaCuvdzyG2O_7P9DRgZxtY</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Rouzbahani, Mohammad</creator><creator>Azimivghar, Javad</creator><creator>moghadam, Reza Heidari</creator><creator>Montazeri, Nafiseh</creator><creator>Janjani, Parisa</creator><creator>Rai, Alireza</creator><creator>Rad, Etrat Javadi</creator><creator>Naderipour, Arsalan</creator><creator>Salehi, Nahid</creator><general>Springer International Publishing</general><general>BioMed Central Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210601</creationdate><title>Acute myocardial infarction: Circadian, daily, monthly and seasonal patterns of occurrence in diabetics</title><author>Rouzbahani, Mohammad ; Azimivghar, Javad ; moghadam, Reza Heidari ; Montazeri, Nafiseh ; Janjani, Parisa ; Rai, Alireza ; Rad, Etrat Javadi ; Naderipour, Arsalan ; Salehi, Nahid</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c544t-8a73f2b8b795cdcb8d460c7069ecb01160a5beb40c331e2751a7fde257b9d01a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Analysis</topic><topic>Creatine</topic><topic>Creatine kinase</topic><topic>Diabetes</topic><topic>Diabetics</topic><topic>Endocrinology</topic><topic>Health aspects</topic><topic>Heart attack</topic><topic>Iran</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Medicine, Experimental</topic><topic>Metabolic Diseases</topic><topic>Mortality</topic><topic>Research Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rouzbahani, Mohammad</creatorcontrib><creatorcontrib>Azimivghar, Javad</creatorcontrib><creatorcontrib>moghadam, Reza Heidari</creatorcontrib><creatorcontrib>Montazeri, Nafiseh</creatorcontrib><creatorcontrib>Janjani, Parisa</creatorcontrib><creatorcontrib>Rai, Alireza</creatorcontrib><creatorcontrib>Rad, Etrat Javadi</creatorcontrib><creatorcontrib>Naderipour, Arsalan</creatorcontrib><creatorcontrib>Salehi, Nahid</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of diabetes and metabolic disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rouzbahani, Mohammad</au><au>Azimivghar, Javad</au><au>moghadam, Reza Heidari</au><au>Montazeri, Nafiseh</au><au>Janjani, Parisa</au><au>Rai, Alireza</au><au>Rad, Etrat Javadi</au><au>Naderipour, Arsalan</au><au>Salehi, Nahid</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute myocardial infarction: Circadian, daily, monthly and seasonal patterns of occurrence in diabetics</atitle><jtitle>Journal of diabetes and metabolic disorders</jtitle><stitle>J Diabetes Metab Disord</stitle><addtitle>J Diabetes Metab Disord</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>20</volume><issue>1</issue><spage>765</spage><epage>770</epage><pages>765-770</pages><issn>2251-6581</issn><eissn>2251-6581</eissn><abstract>Background Illustrating the temporal pattern of acute myocardial infarction (AMI), as a major cause of mortality, may help with disease prevention and better treatment. Therefore, the aim of our study was to investigate the circadian, daily, monthly and seasonal patterns of AMI occurrence in patients with diabetes mellitus, and other likely associated factors. Methods This cross-sectional study was performed on 142 diabetic patients admitted to the Imam Ali cardiovascular hospital, Kermanshah, Iran with a diagnosis of ST-segment elevation myocardial infarction (STEMI) from March 2018 to February 2019. Data were collected using a checklist developed based on the study goals. One-way Analysis of Variance (ANOVA) and Chi-Square test (or Fishers҆ Exact test) were used to assess the differences between subgroups. Multiple logistic regression model was constructed to evaluate independent predictors of the AMI occurrence. Result Out of the 142 diabetic patients, 90 (63.4%) were male. The mean age of the patients was (mean ± SD) 62.81 ± 10.21 years. Occurrence of STEMI was the most common during winter (p = 0.001). Prior angina, prior congestive heart failure (CHF), prior stroke, High-density lipoprotein (HDL), and Creatine Phosphokinase (CPK) were significantly associated with seasonal pattern of STEMI (p-value &lt; 0.05). Angiotensin receptor blockers (ARBs) use was associated with an increased odds of the AMI occurrence in winter (OR = 8.32; P = 0.027). Conclusion The present study of Iranian patients with diabetes revealed that AMI occurred more frequently during the winter compared to the other seasons. ARBs use was associated with an increased odd of the AMI occurrence in winter.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>34222090</pmid><doi>10.1007/s40200-021-00813-3</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Analysis
Creatine
Creatine kinase
Diabetes
Diabetics
Endocrinology
Health aspects
Heart attack
Iran
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Metabolic Diseases
Mortality
Research Article
title Acute myocardial infarction: Circadian, daily, monthly and seasonal patterns of occurrence in diabetics
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