SUDDEN-DEATH FROM PULMONARY THROMBOEMBOLISM - CHRONOBIOLOGICAL ASPECTS

被引:90
作者
GALLERANI, M
MANFREDINI, R
RICCI, L
GRANDI, E
CAPPATO, R
CALO, G
PARESCHI, PL
FERSINI, C
机构
[1] ST ANNA HOSP, DEPT EMERGENCY, UNITE SANITARIA LOCALE 31, FERRARA, ITALY
[2] UNIV FERRARA, INST INTERNAL MED, I-44100 FERRARA, ITALY
[3] UNIV FERRARA, INST PATHOL ANAT HISTOL & CYTOL, I-44100 FERRARA, ITALY
关键词
PULMONARY EMBOLISM; CIRCADIAN RHYTHM; CIRCANNUAL RHYTHM;
D O I
10.1093/oxfordjournals.eurheartj.a060232
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of this study was to determine whether sudden cardiac death from pulmonary embolism exhibits any chronobiological rhythm. Five hundred and seven consecutive subjects dying suddenly outside of hospital and brought into our Emergency Department from January 1983 to December 1989 were studied. The time and date of event were accurately recorded. All subjects underwent autopsy and 48 of them were found to have died of pulmonary embolism (23 males, mean age 73.9 ± 8 years and 25 females, mean age 76 ± 12 years). All data were analysed by means of single cosinor(19.20). In the subjects with pulmonary emboliboth a circadian and a circannual rhythmicity were found, with a significant acrophase respectively in the morning (h.min. 11.46, P = 0.003) and in winter (-19.3, P = 0.009). © 1992 The European Society of Cardiology.
引用
收藏
页码:661 / 665
页数:5
相关论文
共 39 条
[1]   MAJOR CIRCADIAN FLUCTUATIONS IN FIBRINOLYTIC FACTORS AND POSSIBLE RELEVANCE TO TIME OF ONSET OF MYOCARDIAL-INFARCTION, SUDDEN CARDIAC DEATH AND STROKE [J].
ANDREOTTI, F ;
DAVIES, GJ ;
HACKETT, DR ;
KHAN, MI ;
DEBART, ACW ;
ABER, VR ;
MASERI, A ;
KLUFT, C .
AMERICAN JOURNAL OF CARDIOLOGY, 1988, 62 (09) :635-637
[2]  
BARASH D, 1989, Journal of Emergency Medicine, V7, P119, DOI 10.1016/0736-4679(89)90255-2
[3]   CLUSTERING OF STROKES IN ASSOCIATION WITH METEOROLOGIC FACTORS IN THE NEGEV DESERT OF ISRAEL - 1981-1983 [J].
BERGINER, VM ;
GOLDSMITH, J ;
BATZ, U ;
VARDI, H ;
SHAPIRO, Y .
STROKE, 1989, 20 (01) :65-69
[4]   MORNING INCREASE IN PLATELET AGGREGABILITY - ASSOCIATION WITH ASSUMPTION OF THE UPRIGHT POSTURE [J].
BREZINSKI, DA ;
TOFLER, GH ;
MULLER, JE ;
POHJOLASINTONEN, S ;
WILLICH, SN ;
SCHAFER, AI ;
CZEISLER, CA ;
WILLIAMS, GH .
CIRCULATION, 1988, 78 (01) :35-40
[5]   RELATIONSHIP OF AIR TEMPERATURE TO VARIOUS CHEMICAL, HEMATOLOGICAL, AND HEMOSTATIC VARIABLES [J].
BULL, GM ;
BROZOVIC, M ;
CHAKRABARTI, R ;
MEADE, TW ;
MORTON, J ;
NORTH, WRS ;
STIRLING, Y .
JOURNAL OF CLINICAL PATHOLOGY, 1979, 32 (01) :16-20
[6]  
Canadian Cooperative Study Group, 1978, N Engl J Med, V299, P53
[7]  
CASOLO G C, 1988, Cardiologia (Rome), V33, P675
[8]  
EHRLY A M, 1973, Biorheology, V10, P577
[10]  
GRIM C, 1974, J CLIN ENDOCR METAB, V39, P247, DOI 10.1210/jcem-39-2-247