Most Read Articles
3 days ago
The appropriate cutoff value in predicting combined cardiovascular outcomes in patients with type 2 diabetes (T2D) is 125 mm Hg for home morning systolic blood pressure (MSBP), suggests a new study.
06 Apr 2018

Female patients with coronary artery disease (CAD) have greater regression of coronary atherosclerosis than male patients despite a lower plaque burden at baseline, data from the GLAGOV trial have shown.

26 Apr 2018
Transcatheter aortic valve replacement (TAVR) in severe symptomatic aortic stenosis (AS) patients is superior to conventional surgical aortic valve replacement (SAVR) in terms of reducing life-threatening bleeding, new-onset atrial fibrillation and acute kidney injury, a recent meta-analysis has found.
Pearl Toh, Yesterday
Whether the 2017 ACC/AHA* blood pressure (BP) guidelines should be adopted in Asian countries was the topic of a much-anticipated discussion here at the Asian Pacific Society of Cardiology (APSC) Congress 2018 in Taiwan last week.

Psychosocial stress tied to daily myocardial infarction rates

08 Oct 2017

Periods of presumed psychosocial stress are correlated with daily fluctuations in myocardial infarction rates, a new study from Sweden has found.

The study included 156,690 myocardial infraction events (mean age of patients 71.8±12.4 years; 63.7 percent male) grouped according to specific time period and days. Holidays (n=9,835), turns of the month (n=41,246) and Mondays (n=25,338) were all presumed to increase stress; while summers (n=11,935) and weekends (n=40,225), decrease stress.

After adjusting for the whole population, daily myocardial infarction rates were found to be significantly higher during holidays (incidence rate ratio [IRR], 1.07; 95 percent CI, 1.04 to 1.09; p<0.001) and Mondays (IRR, 1.11; 1.09 to 1.13; p<0.001) and significantly lower during summer (IRR, 0.92; 0.90 to 0.94; p<0.001) and weekends (IRR, 0.88; 0.87 to 0.89; p<0.001).

Contrary to what was hypothesized, turns of the month (IRR, 1.01; 1.00 to 1.02; p=0.891) did not correlate significantly with higher daily myocardial infarction rates. Additionally, daily temperatures showed a significant negative association with myocardial infarction rates (IRR per 10oC increase, 0.98; 0.97 to 0.99; p<0.001).

Subgroup analyses also showed that the increase in adjusted daily myocardial infarction rates was higher in males (IRR, 1.14; 1.12 to 1.16; p<0.001) than in females (IRR, 1.06; 1.04 to 1.09; p<0.001), and in working adults (IRR, 1.20; 1.16 to 1.24; p<0.001) than in pensioners (IRR, 1.08; 1.07 to 1.11; p<0.001).

In contrast, the effect of holidays on myocardial infraction rates was significant in pensioners (IRR, 1.09; 1.07 to 1.12; p<0.001) but not in working adults (IRR, 0.99; 0.93 to 1.04; p=0.599).

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Most Read Articles
3 days ago
The appropriate cutoff value in predicting combined cardiovascular outcomes in patients with type 2 diabetes (T2D) is 125 mm Hg for home morning systolic blood pressure (MSBP), suggests a new study.
06 Apr 2018

Female patients with coronary artery disease (CAD) have greater regression of coronary atherosclerosis than male patients despite a lower plaque burden at baseline, data from the GLAGOV trial have shown.

26 Apr 2018
Transcatheter aortic valve replacement (TAVR) in severe symptomatic aortic stenosis (AS) patients is superior to conventional surgical aortic valve replacement (SAVR) in terms of reducing life-threatening bleeding, new-onset atrial fibrillation and acute kidney injury, a recent meta-analysis has found.
Pearl Toh, Yesterday
Whether the 2017 ACC/AHA* blood pressure (BP) guidelines should be adopted in Asian countries was the topic of a much-anticipated discussion here at the Asian Pacific Society of Cardiology (APSC) Congress 2018 in Taiwan last week.