The effect of hypertension on the circadian rhythm of acute myocardial infarction
10.19405/j.cnki.issn1000-1492.2022.06.026
- Author:
Liang Ma
1
,
2
;
Turxuntai Miheerguli
1
,
3
;
Minmin Liu
1
,
2
;
Ya Liang
1
,
2
;
Liying Men
1
,
2
;
Xiaoqian Luan
1
,
2
;
Nanfang Li
4
,
5
;
Zhitao Yan
1
,
2
Author Information
1. School of Medicine, Shihezi University, Shihezi 832000
2. Dept of Cardiovascular Internal Medicine, The First Affiliated Hospital of Shihezi University School of Medicine, Shihezi 832008
3. Dept of General Medicine, Yili Friendship Hospital, Yining,835000
4. Institute of Hypertension,people'
5. s Hospital of Xinjiang Uygur Autonomous Region,Urumgi 830001
- Publication Type:Journal Article
- Keywords:
acute myocardial infarction;
hypertension;
circadian rhythm
- From:
Acta Universitatis Medicinalis Anhui
2022;57(6):982-986
- CountryChina
- Language:Chinese
-
Abstract:
Abstract:To investigate the influence of acute myocardial infarction(AMI) combined with hypertension on its circadian rhythm.
Methods:A total of 1 006 cases of AMI who underwent emergency percutaneous coronary intervention(PCI) surgery were collected continuously, and they were divided into a combined hypertension group and a non-combined hypertension group according to whether it was combined with hypertension. The day was divided into 4 and 12 time periods in units of 6 hours and 2 hours, and the number of cases and differences between the two groups in each time period were compared.
Results:After propensity score matching(PSM), the two groups had different onsets in the 4 time periods of 0:00—5:59, 6:00—11:59, 12:00—17:59 and 18:00—23:59(P=0.014,0.045,0.035,0.016). After further subdividing the time into 12 time periods in units of 2 hours, the morning peak of the onset time of the hypertensive group was 10:00—11:59(P=0.004), and there was another peak at 2:00—3:59 in the morning(P=0.002). Multivariate Logistic regression indicated that compared with non-combined hypertension, AMI with hypertension had an increased risk of onset in the morning(6:00—11:59)(OR, 1.440; 95%CI, 1.089-1.904;P=0.011).
Conclusion:Hypertension affects the circadian rhythm of the onset of AMI and the peak time of onset, and it is a risk factor for the onset of AMI in the morning peak period(6:00—11:59).
- Full text:2025022609473608269合并高血压对急性心肌梗死发病昼夜节律的影响_马良.pdf
