Circadian Variation of the Efficacy of Thrombolytic Therapy in Acute Myocardial Infarction—Isn’t the Time Ripe for Cardiovascular Chronotherapy?

Author:

Reisin Leonardo H.1,Pancheva Nadya2,Berman Michael2,Khalameizer Vladimir2,Jafary Jamal2,Yosefy Chaim2,Blaer Yosef2,Manevich Ilia2,Peled Ronit3,Scharf Shimon2

Affiliation:

1. Cardiology Department, Barzilai Medical Center Campus, Faculty of Health Sciences, Ben-Gurion University of the Negev, Ashkelon, Israel,

2. Cardiology Department, Barzilai Medical Center Campus, Faculty of Health Sciences, Ben-Gurion University of the Negev, Ashkelon, Israel

3. Epidemiology Research Institute, Barzilai Medical Center Campus, Faculty of Health Sciences, Ben-Gurion University of the Negev, Ashkelon, Israel

Abstract

This study was designed to assess the circadian variation of the efficacy of thrombolytic therapy (TT) in 163 patients with acute myocardial infarction. Statistical analysis of the results suggests the existence of circadian variation in the efficacy of thrombolytic therapy with marked early morning resistance and significantly better late daytime results. There is a strong relationship between the normal physiologic rhythms of biochemical, hemodynamic, and hematologic parameters, observed in patients with CAD and the circadian fluctuations of efficacy of TT. Obviously the efficacy of TT is influenced by more evident impact of chronorisk factors during the early morning hours.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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