Relationship between time of day and periprocedural myocardial infarction after elective angioplasty.

Details

Serval ID
serval:BIB_6B61585AF4C4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Relationship between time of day and periprocedural myocardial infarction after elective angioplasty.
Journal
Chronobiology International
Author(s)
Fournier S., Puricel S., Morawiec B., Eeckhout E., Mangiacapra F., Trana C., Tapponnier M., Iglesias J.F., Michiels V., Stauffer J.C., Beggah A., Monney P., Gobet S., Vogt P., Cook S., Muller O.
ISSN
1525-6073 (Electronic)
ISSN-L
0742-0528
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
31
Number
2
Pages
206-213
Language
english
Notes
Publication types: Journal Article, pdf : ORIGINAL ARTICLE
Abstract
Objectives: To test if the time of day significantly influences the occurrence of type 4A myocardial infarction in elective patients undergoing percutaneous coronary intervention (PCI). Background: Recent studies have suggested an influence of circadian rhythms on myocardial infarction size and mortality among patients with ST-elevation myocardial infarction. The aim of the study is to investigate whether periprocedural myocardial infarction (PMI) is influenced by the time of day in elective patients undergoing PCI. Methods: All consecutive patients undergoing elective PCI between 2007 and 2011 at our institutions with known post-interventional troponin were retrospectively included. Patients (n = 1021) were divided into two groups according to the starting time of the PCI: the morning group (n = 651) between 07:00 and 11:59, and the afternoon group (n = 370) between 12:00 and 18:59. Baseline and procedural characteristics as well as clinical outcome defined as the occurrence of PMI were compared between groups. In order to limit selection bias, all analyses were equally performed in 308 pairs using propensity score (PS) matching. Results: In the overall population, the rate of PMI was statistically lower in the morning group compared to the afternoon group (20% vs. 30%, p < 0.001). This difference remained statistically significant after PS-matching (21% vs. 29%, p = 0.03). Multivariate analysis shows that being treated in the afternoon independently increases the risk for PMI with an odds ratio of 2.0 (95%CI: 1.1-3.4; p = 0.02). Conclusions: This observational PS-matched study suggests that the timing of an elective PCI influences the rate of PMI.
Pubmed
Web of science
Create date
21/03/2014 20:01
Last modification date
20/08/2019 15:25
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