Weekly Distribution of Acute Coronary Syndrome. Analysis of the Epi-Cardio Registry
Year: 2015
Type: article
Study design: Observational Study
Abstract: Background: Acute coronary syndromes (ACS) seem to have a chronobiological distribution with seasonal, weekly and circadian variations. So far, there is no evidence in the published literature about the weekly distribution of ACS in Argentina; thus, it is unknown whether ACS have a specific pattern and which could be the associated variables.Objective: The aim of this study was to analyze the weekly distribution of ACS and the differences in treatment and clinical outcome.Methods: The distribution of non-ST-segment elevation (NSTE) (n=6,277) and ST-segment elevation (STE) ACS (n=4,237) was retrospectively analyzed according to the day of the week using the 2006-2012 Epi-Cardio registry.Results: The frequency was higher during the first days of the week and descended during the weekend (overall ACS and NSTE-ACS p <0.001, and STE-ACS p <0.01), and was not related to either age or sex. In STE-ACS, the indication and the type of reperfusion therapy did not present differences according to the day of the week.Conclusions: The frequency of hospitalization due to ACS is higher within the first weekdays and decreases during the weekend, with no differences in the use of complex resources or in the initial outcome.
Source: Revista Argentina de Cardiología
Institutions: Hospital El Cruce, Argerich Hospital
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2472308983