دورية أكاديمية

Variation during the week in the incidence of acute myocardial infarction: increased risk for Japanese women on Saturdays

التفاصيل البيبلوغرافية
العنوان: Variation during the week in the incidence of acute myocardial infarction: increased risk for Japanese women on Saturdays
المؤلفون: Kinjo, K, Sato, H, Shiotani, I, Kurotobi, T, Ohnishi, Y, Hishida, E, Nakatani, D, Mizuno, H, Yamada, Y, Fukui, S, Fukunami, M, Nanto, S, Matsu-ura, Y, Takeda, H, Hori, M
بيانات النشر: British Medical Journal Publishing Group
سنة النشر: 2003
المجموعة: HighWire Press (Stanford University)
مصطلحات موضوعية: Cardiovascular medicine
الوصف: Background: Variations in the incidence of acute myocardial infarction during the week may differ between and within communities, according to lifestyle. Objective: To identify potential triggering factors for acute myocardial infarction by examining variations in incidence in the days of the week within the Osaka area of Japan. Patients: Of 2511 consecutive patients in this region who were admitted to hospital for acute myocardial infarction between April 1998 and March 2001 and consented to take part, 2400 who had a definitely identified time of onset were enrolled. Results: For this group as a whole, no significant difference in incidence was noted between days of the week. However, in subgroup analyses women were shown to have significant variation through the week, peaking on Saturday with a 39% increase in relative risk (p = 0.037); working subjects showed a peak on Monday, with a 26% increase in relative risk (p = 0.038). Stratified analyses showed that in working men there was a prominent Monday peak in the onset of infarction, with a 30% increase in relative risk (p = 0.022), while in working women, there was no significant variation through the week. Conclusions: Earlier findings of a Monday peak linked to increased physical and mental occupational stress are confirmed. There is also an increase in uncertain risk factors on Saturdays for Japanese women, possibly involving a stressful weekend burden for women. Confirmation of this finding in other communities may help identify triggers of acute myocardial infarction and be useful in prevention.
نوع الوثيقة: text
وصف الملف: text/html
اللغة: English
العلاقة: http://heart.bmj.com/cgi/content/short/89/4/398Test; http://dx.doi.org/10.1136/heart.89.4.398Test
DOI: 10.1136/heart.89.4.398
الإتاحة: https://doi.org/10.1136/heart.89.4.398Test
http://heart.bmj.com/cgi/content/short/89/4/398Test
حقوق: Copyright (C) 2003, BMJ Publishing Group Ltd
رقم الانضمام: edsbas.86D0298E
قاعدة البيانات: BASE