急性心筋梗塞の週間の変動. 労働人口における月曜日のリスクの増加
S N Willich1, H Löwel, M Lewis
1Department of Medicine, Klinikum Steglitz, Free University of Berlin, Germany.
Circulation
|July 1, 1994
まとめ
急性心筋梗塞 (心臓発作) は毎週発生し,月曜日にはピークに達し,特に労働人口ではピークに達する. これは,特定のトリガーは,週中に心臓発作の発生に影響を与える可能性があることを示唆しています.
科学分野:
- 心臓病学 心臓病学
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
背景:
- 以前の研究では,筋動脈梗塞 (MI) と突然心臓死 (SCD) の季節性および日経時間の変動が示されています.
- これらの心臓発作の週間の分布に関する限られた矛盾するデータが存在します.
- トリガリング要因は,心臓病の発生に起因する役割を担うと仮定されています.
研究 の 目的:
- 急性心筋梗塞 (MI) と急性心臓死 (SCD) の発生率の週間の変動を調査する.
- これらの心血管疾患の週間の発生における潜在的なパターンを特定する.
主な方法:
- 1985年から1990年にかけて,定義された集団 (33万人) 内の5596人の連続した患者の分析.
- 各心臓イベントの症状の発症日を決定する.
- MIとSCDの患者,および労働人口と非労働人口との間の週間のパターンの比較.
主要な成果:
- 急性心筋梗塞 (MI) の症例は,週間の有意な変動を示し,月曜日はピーク発生率 (P < .01) であった.
- 心臓発作による突然死 (SCD) の症例は,週中に均等に分布していた.
- 労働人口は,非労働人口と比較して,月曜日のMI発症の相対リスクが33%増加したことを示しました.
結論:
- 急性心筋梗塞 (MI) の発症率は月曜日にピークに達し,特に労働人口の中でピークに達します.
- この月曜のピークは,労働週に関連した急性トリガーイベントの影響を示唆しています.
- 多様なコミュニティでのさらなる確認は,心筋梗塞の理解と予防を強化する可能性があります.
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