Chronobiology of Takotsubo Syndrome and Myocardial Infarction

Manfredini, Roberto; Manfredini, Fabio; Fabbian, Fabio; Salmi, Raffaella; Gallerani, Massimo; Bossone, Eduardo; Deshmukh, Abhishek

doi:10.1016/j.hfc.2016.06.004

Cited by 18 publications

(18 citation statements)

References 121 publications

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“…Takotsubo cardiomyopathy, which is caused by an acute stressor, appears to have a morning preference for symptom onset similar to typical AMI. 30 However, obstructive sleep apnea, which is a chronic condition, seems to have a peak in sudden cardiac death between midnight and 6:00 AM, similar to our post-Katrina cohort and perhaps also mediated by chronic sympathetic stimulation. 31 Theorizing an explanation is difficult due to the dearth of data examining circadian patterns of disease, and additional study is needed to better understand this phenomenon.…”

Section: Discussionsupporting

confidence: 72%

“…Overall, data regarding the chronobiology of specific acute or chronic cardiac conditions are rare. Takotsubo cardiomyopathy, which is caused by an acute stressor, appears to have a morning preference for symptom onset similar to typical AMI 30 . However, obstructive sleep apnea, which is a chronic condition, seems to have a peak in sudden cardiac death between midnight and 6:00 AM, similar to our post-Katrina cohort and perhaps also mediated by chronic sympathetic stimulation 31 .…”

Section: Discussionsupporting

confidence: 68%

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The Incidence, Risk Factors, and Chronobiology of Acute Myocardial Infarction Ten Years After Hurricane Katrina

Moscona

Peters

Maini

et al. 2018

Disaster med. public health prep.

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ObjectiveThe purpose of this study was to investigate the 10-year impact of Hurricane Katrina on the incidence of acute myocardial infarction (AMI) along with contributing risk factors and any alteration in chronobiology of AMI.MethodsA single-center, retrospective, comparison study of AMI incidence was performed at Tulane University Health Sciences Center from 2 years before Hurricane Katrina to 10 years after Hurricane Katrina. A 6-year, pre-Katrina and 10-year, post-Katrina cohort were also compared according to pre-specified demographic, clinical, and chronobiological data.ResultsAMI incidence increased from 0.7% (150/21,079) to 2.8% (2,341/84,751) post-Katrina (P<0.001). The post-Katrina cohort had higher rates of coronary artery disease (36.4% vs. 47.9%, P=0.01), diabetes mellitus (31.3% vs. 39.9%, P=0.04), hyperlipidemia (45.4% vs. 59.3%, P=0.005), smoking (34.4% vs. 53.8%, P<0.001), drug abuse (10.2% vs. 15.4%, P=0.02), psychiatric illness (6.7% vs. 14.9%, P<0.001), medication non-adherence (7.3% vs. 15.3%, P<0.001), and lack of employment (7.2% vs. 16.4%, P<0.001). The post-Katrina group had increased rates of AMI during nights (29.8% vs. 47.8%, P<0.001) and weekends (16.1% vs. 29.1%, P<0.001).ConclusionsEven 10 years after the storm, Hurricane Katrina continues to be associated with increased incidence of AMI, higher prevalence of traditional cardiovascular and psychosocial risk factors, and an altered chronobiology of AMI toward nights and weekends. (Disaster Med Public Health Preparedness. 2019;13:217–222)

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Section: Discussionsupporting

confidence: 72%

Section: Discussionsupporting

confidence: 68%

The Incidence, Risk Factors, and Chronobiology of Acute Myocardial Infarction Ten Years After Hurricane Katrina

Moscona

Peters

Maini

et al. 2018

Disaster med. public health prep.

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“…Recently, it has become clear that stress-induced cardiomyopathy, formally called Tako-tsubo cardiomyopathy, occurs mostly on Monday, 17, 18, 19 especially during the morning. 18 The high level of stress induced by starting weekly and daily activities on Monday morning could play an important role, as suggested by cardiovascular events, including stroke and sudden death.…”

Section: Discussionmentioning

confidence: 99%

Increased double product on Monday morning during work

et al. 2017

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It has been reported that cardiovascular events often occur on Monday morning, especially in the young working population. Because hypertension is a major cardiovascular risk, we examined whether blood pressure was elevated on Monday, especially in the morning during work. However, there were no weekly rhythms in blood pressure itself. Instead, we found significant interactions between the double product (systolic blood pressure × heart rate) and weekly (high on Monday) and circadian (high in the morning) rhythms. Further studies are required to determine whether Monday morning preference in cardiovascular events is caused by increased double product.

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“…The present description shows a TTC in male patient, situation that occurs in nearly 10% of the reported cases [3,9,10]. Also, studies have shown that the majority of cases in man happened due to a physical stress, for instance, acute respiratory failure, AMI, and others [3,[10][11][12][13]. Other physical stress includes surgery procedures, subarachnoid hemorrhage, hypertensive crisis, cancer, etc.…”

Section: Discussionmentioning

confidence: 54%

Stress Related Takotsubo Cardiomyopathy: A Case Report

Cortela¹,

Bernardo²,

Kavanishi³

et al. 2018

JPP

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First described in Hiroshima City Hospital in 1990, Takotsubo Cardiomyopathy emerged as an important differential diagnosis for acute coronary syndrome, since this disease mimics some commemoratives presentations of acute coronary syndrome such as chest symptoms, electrocardiographic changes and cardiac injury biomarker alteration. Also, it's important to emphasize that, although it commonly occurs among woman, TCC can happen in males, as demonstrated in other studies which 10% of the cases occurred in male sex. In this way, this study shows the importance of Takotsubo Cardiomyopathy as a differential diagnosis for acute coronary syndrome.

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Chronobiology of Takotsubo Syndrome and Myocardial Infarction

Cited by 18 publications

References 121 publications

The Incidence, Risk Factors, and Chronobiology of Acute Myocardial Infarction Ten Years After Hurricane Katrina

The Incidence, Risk Factors, and Chronobiology of Acute Myocardial Infarction Ten Years After Hurricane Katrina

Increased double product on Monday morning during work

Stress Related Takotsubo Cardiomyopathy: A Case Report

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