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- Title
The effect of Ramadan fasting on circadian variation of Turkish patients with acute myocardial infarction.
- Authors
Turker, Yasin; Aydin, Mesut; Aslantas, Yusuf; Ozaydin, Mehmet; Uysal, Bayram Ali; Bulur, Serkan; Erden, Ismail; Albayrak, Sinan; Ozhan, Hakan
- Abstract
Introduction: The mechanisms of circadian variation in cardiovascular events are not clear. Aim: Evaluation of the effect of Ramadan fasting on circadian variation of acute ST-elevation myocardial infarction (STEMI) in Turkish patients. Material and methods: This comparative cross-sectional study included 151 consecutive patients with acute STEMI. The attending physician on the basis of patients' self-reports determined the time of onset of STEMI. The patients were divided into two group based on the history of fasting. The standard hourly profile of the onset of STEMI was obtained over a 24-h period. Patients were then categorized into four 6-hour increments according to the time that the symptoms began (00:00-05:59; 06:00-11:59; 12:00-17:59 and 18:00-23:59 h). Results: In all study participants, the highest incidence of STEMI was between 12.00 and 18.00; the odds ratio was 2.77 (95% CI: 2.63-2.92, p < 0.001). In the non-fasting group, the highest incidence of STEMI occurred between 06:00 and 12:00 A.M. The highest incidence of AMI occurred between 12.00 A.M. and 18.00 in patients with fasting; the odds ratio was 2.70 (95% CI: 2.51-2.91, p < 0.001). There were significant differences between fasting and non-fasting groups regarding circadian variation of STEMI (p < 0.001). Conclusions: There are significant changes in the circadian variation of patients with STEMI in relation to Ramadan fasting.
- Subjects
CARDIAC research; RAMADAN; ISLAMIC fasts &; feasts; CIRCADIAN rhythms; MYOCARDIAL infarction; FASTING; PATIENTS; PHYSIOLOGY
- Publication
Advances in Interventional Cardiology / Postępy w Kardiologii Interwencyjnej, 2012, Vol 8, Issue 3, p193
- ISSN
1734-9338
- Publication type
Article
- DOI
10.5114/pwki.2012.30398