Related Experiment Video
Updated: Jan 23, 2026

Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
ASSOCIATION OF CIRCADIAN RHYTHM WITH MYOCARDIAL INFARCTION
Ivana Škrlec1, Jakov Milić1, Marija Heffer1
11Department of Medical Biology and Genetics, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 2Department of Biology and Chemistry, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3Division of Cardiovascular Diseases and Intensive Care, Department of Internal Medicine, Osijek University Hospital Centre, Osijek, Croatia; 4Clinical Institute of Medical Genetics, University Medical Center Ljubljana, Ljubljana, Slovenia.
Insights
This study found no link between chronotype or daytime sleepiness and myocardial infarction risk. Cardiovascular disease risk factors like hypertension and diabetes were significant, but sleep patterns were not associated with heart attack susceptibility.
Area of Science:
- Cardiology
- Sleep Medicine
- Chronobiology
Background:
- Cardiovascular diseases represent a leading global cause of mortality.
- Circadian rhythms influence human physiological activities and illness states.
Purpose of the Study:
- To investigate the association between chronotype and daytime sleepiness with myocardial infarction susceptibility.
- To explore the role of sleep patterns in cardiovascular disease risk.
Main Methods:
- A case-control study involving 200 myocardial infarction patients and 200 healthy controls.
- Chronotype assessed via Morningness-Eveningness Questionnaire (MEQ).
- Daytime sleepiness evaluated using the Epworth Sleepiness Scale (ESS).
Main Results:
- No significant differences in MEQ or ESS scores were observed between myocardial infarction patients and controls.
- Significant differences in cardiovascular disease risk factors (hypertension, dyslipidemia, diabetes) were noted.
- No association found between MEQ/ESS scores and myocardial infarction.
Conclusions:
- Chronotype and daytime sleepiness do not appear to be directly associated with myocardial infarction in this study population.
- Traditional cardiovascular risk factors remain critical in myocardial infarction development.
- Further research may explore complex interactions between circadian rhythm and cardiovascular health.
Abstract:
- Cardiovascular diseases are the world's leading cause of death. Human physiologic activities and state during illness are under the control of circadian rhythm. The aim of the study was to determine the potential association of chronotype and daytime sleepiness with susceptibility to myocardial infarction. We conducted a case-control study on 200 patients hospitalized due to myocardial infarction and 200 healthy controls. Systematic information on the past and present medical history was obtained from all participants. Chronotype was assessed using the Morningness-Eveningness Questionnaire (MEQ), and daytime sleepiness was assessed by the Epworth Sleepiness Scale (ESS). The mean age of the study population was 64±13 years, and 54.5% were male. There was no significant difference in MEQ (58.88±6.52 vs. 58.46±7.78, p=0.601) or ESS (5 (interquartile range, IQR 4-7.5) vs. 6 (IQR 3-8), p=0.912) score between patients and controls. Nevertheless, we found statistically significant differences related to risk factors for cardiovascular diseases, such as hypertension, dyslipidemia, and diabetes mellitus. However, there was no association of MEQ and ESS score with myocardial infarction in the study population.
Related Concept Videos
Circadian Rhythms and Gene Regulation
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
Pulse rhythm
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Disturbances in Heart Rhythm
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
ECG Interpretation of Rhythms
Components of the Electrocardiogram
The primary components of a normal ECG waveform in Normal sinus rhythm(NSR) include the P wave, PR interval, QRS complex, ST segment, T wave, and occasionally a U wave.
ECG waveforms are divided by vertical and horizontal lines at standard intervals.
The horizontal axis measures time and rate, and the vertical axis measures amplitude or voltage....
Electrophysiology of Normal Cardiac Rhythm

