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Iranian Heart Journal، جلد ۲۵، شماره ۳، صفحات ۲۷-۳۴
عنوان فارسی
چکیده فارسی مقاله
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عنوان انگلیسی Characteristics of Patients With Myocardial Infarction Occurring in the Early Morning Hours
چکیده انگلیسی مقاله Background: Circadian fluctuations in acute myocardial infarction (AMI) onset have been noted, peaking between 06:00 and 12:00 hours. While myocardial ischemia can occur anytime, circadian variation may influence acute ischemic heart disease onset. This study aimed to evaluate the impact of circadian rhythm on clinical and angiographic characteristics of ST-elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PPCI).   Methods: In this prospective study, we enrolled 433 consecutive patients diagnosed with acute STEMI who underwent PPCI. Patients were assigned to 2 groups based on the time of AMI onset: the first group included patients with morning onset of AMI (between 06:00 and 12:00 hours), and the second group included those with AMI onset at other times.   Results: Patients with morning presentation had higher initial and post-flow achievement thrombus scores, lower initial TIMI flow scores (P=0.035, P=0.016, and P=0.004, respectively), and more frequent bailout glycoprotein IIb/IIIa use.   Conclusions: Patients experiencing STEMI symptom onset in the morning had a higher thrombus burden than those with symptom onset at other times. (Iranian Heart Journal 2024; 25(3): 27-34)
کلیدواژه‌های انگلیسی مقاله Early morning,STEMI,circadian rhythm,Primary percutaneous coronary intervention,TIMI flow,Acute coronary syndrome
نویسندگان مقاله Ahmed Alaarag |
Cardiology Department, Tanta University, Tanta, Egypt.

Mohamed Naseem |
Cardiology Department, Tanta University, Tanta, Egypt.

نشانی اینترنتی http://journal.iha.org.ir/article_199183_6deeb1508270abd0371e99f43905d6dd.pdf
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