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Diurnal incidence of acute myocardial infarction in a Japanese population (From the Takashima AMI Registry, 1988–2004)

Authors:

Nahid Rumana ,

Department of Health Science, Shiga University of Medical Science, Shiga, JP
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Yoshikuni Kita,

Department of Health Science, Shiga University of Medical Science, Shiga, JP
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Tanvir Chowdhury Turin,

Department of Health Science, Shiga University of Medical Science, Shiga, JP; Department of Medicine, University of Calgary, Calgary, Alberta, CA
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Yasuyuki Nakamura,

Kyoto Women’s University, Kyoto, JP
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Naoyuki Takashima,

Department of Health Science, Shiga University of Medical Science, Shiga, JP
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Masaharu Ichikawa,

Takashima General Hospital, Shiga, JP
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Hideki Sugihara,

Takashima General Hospital, Shiga, JP
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Yutaka Morita,

Makino Hospital, Takashima, JP
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Kunihiko Hirose,

Otsu Red Cross Hospital, Shiga, JP
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Akira Okayama

The First Institute for Health Promotion and Health Care, Tokyo, JP
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Abstract

Background: We examined the circadian periodicity of acute myocardial infarction (AMI) onset to identify any existing specific pattern using 17-year AMI registration data.

Methods: Data were obtained from the Takashima AMI Registry, which covered a stable population of approximately 55,000 in Takashima County in central Japan. Out of 429 registered first-ever AMI events from 1988–2004, there were 352 events with classifiable onset time. AMI onset was categorized as occurring at night (midnight to 6 a.m.), morning (6 a.m. to noon), afternoon (noon to 6 p.m.) or evening (6 p.m. to midnight).

Results: There was a significant diurnal variation in AMI incidence (P < 0.001) with the highest proportion in the morning (32.4%, 95% CI: 27.7–37.5) and lowest in the nighttime (17.4%, 95% CI: 13.7–21.7). An excess AMI incidence in the morning was observed in both genders and in subjects ⩾65 years old. A second surge was also observed during the later part of the day. The morning excess of AMI incidence was similar across seasons and days of the week. For all AMIs, the age and gender adjusted risk was 1.82 (95% CI: 1.33–2.49) times higher in the morning than at night.

Conclusion: A diurnal pattern of AMI onset was observed in a Japanese population with a morning peak and nighttime trough, and the pattern was similar across seasons of the year and days of the week.

How to Cite: Rumana N, Kita Y, Turin TC, Nakamura Y, Takashima N, Ichikawa M, et al.. Diurnal incidence of acute myocardial infarction in a Japanese population (From the Takashima AMI Registry, 1988–2004). Global Heart. 2011;6(3):101–7. DOI: http://doi.org/10.1016/j.cvdpc.2011.05.002
Published on 01 Sep 2011.

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