دورية أكاديمية
Variation during the week in the incidence of acute myocardial infarction: increased risk for Japanese women on Saturdays
العنوان: | Variation during the week in the incidence of acute myocardial infarction: increased risk for Japanese women on Saturdays |
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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 |
DOI: | 10.1136/heart.89.4.398 |
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