Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14279/18560
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dc.contributor.authorProtopapas, Andreas-
dc.contributor.authorLambrinou, Ekaterini-
dc.date.accessioned2020-07-23T10:59:08Z-
dc.date.available2020-07-23T10:59:08Z-
dc.date.issued2019-10-
dc.identifier.citationEuropean Journal of Cardiovascular Nursing, 2019, vol. 18, no. 7, pp. 562-568en_US
dc.identifier.issn1873-1953-
dc.identifier.urihttps://hdl.handle.net/20.500.14279/18560-
dc.description.abstractIntroduction: The circadian rhythm of onset of myocardial infarction shows an increased risk during the morning hours. However, it is not clear whether habits, culture and sunshine hours differentiate circadian rhythm. The aim of this study was to investigate the influence of cultural factors on the circadian rhythm of acute myocardial infarction with ST segment elevation in a Mediterranean island. Method: The study was a retrospective correlational survey. It included 123 patients with ST elevation myocardial infarction (mean age 60.7±12.6; 82% men). The 24 h of a day were divided into four six-hour periods of time for study purposes (00:01–06:00; 06:01–12:00; 12:01–18:00; and 18:01–24:00) and the chi-square test was used for the analysis. Results: A morning peak of symptoms onset of ST-elevation myocardial infarction was detected during the period 06:01–12:00 (p=0.044). In patients who were smokers, a bimodal pattern involving a morning (06:01–12:00) and an afternoon-to-night peak (18:01–24:00) (p=0.005) was detected. For patients with a history of hypertension, a morning peak of their symptoms was also detected (p=0.028). Different circadian variations were found between patients over the age of 60 years old and patients under the age of 60 years old (p=0.025). Conclusions: Patients with ST elevation myocardial infarction seem to follow a circadian rhythm with a peak of onset of symptoms in the morning. In the smokers’ subgroup, a different circadian pattern was found. The habit of smoking is likely to affect the circadian rhythm of the onset of ST elevation myocardial infarction in the Mediterranean area and culture.en_US
dc.formatpdfen_US
dc.language.isoenen_US
dc.relation.ispartofEuropean Journal of Cardiovascular Nursingen_US
dc.rights© Sageen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectCircadian rhythmen_US
dc.subjectMediterraneanen_US
dc.subjectMyocardial infarctionen_US
dc.titleCultural factors and the circadian rhythm of ST elevation myocardial infarction in patients in a Mediterranean islanden_US
dc.typeArticleen_US
dc.collaborationCyprus University of Technologyen_US
dc.subject.categoryClinical Medicineen_US
dc.journalsSubscriptionen_US
dc.countryCyprusen_US
dc.subject.fieldMedical and Health Sciencesen_US
dc.publicationPeer Revieweden_US
dc.identifier.doi10.1177/1474515119850680en_US
dc.identifier.pmid31072127-
dc.identifier.scopus2-s2.0-85072628871-
dc.identifier.urlhttps://api.elsevier.com/content/abstract/scopus_id/85072628871-
dc.relation.issue7en_US
dc.relation.volume18en_US
cut.common.academicyear2019-2020en_US
dc.identifier.spage562-en_US
dc.identifier.epage568en_US
item.openairecristypehttp://purl.org/coar/resource_type/c_6501-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypearticle-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
crisitem.journal.journalissn1873-1953-
crisitem.journal.publisherSage-
crisitem.author.deptDepartment of Nursing-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.orcid0000-0002-2601-8861-
crisitem.author.parentorgFaculty of Health Sciences-
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