Heart 2006;92:1009-1010
EDITORIAL
Editorials
Can we trigger an acute coronary syndrome?
Correspondence to:
Dr Robert A Kloner
Heart Institute, Good Samaritan Hospital, 1225 Wilshire Boulevard, Los Angeles, CA 90017, USA; rkloner@goodsam.org
While both physical exertion and anger can contribute to acute coronary syndromes, these triggers differ in their clinical and sociodemographic correlates
Keywords: acute coronary syndrome; cardiac triggers; acute myocardial infarction; exercise; anger
| The first 150 words of the full text of this article appear below. |
There is an expanding literature that suggests that acute myocardial infarction and death from coronary artery disease can be triggered by a number of natural as well as manmade triggers. Natural triggers include circadian fluctuations (with an increase in myocardial infarction and cardiac death in the morning associated with the first few hours after the wakeup time1), seasonal fluctuations (with an increase in cardiac events during the winter months)2 and natural disasters (such as earthquakes3 and blizzards).
Man-made triggers have been studied in detail and include heavy and moderate physical activity, emotional upset4 (including anger, as described in the accompanying manuscript by Strike et al5), overeating, lack of sleep, sexual activity, and the use of cocaine and other illicit substances.4 Certain man-made events may trigger cardiac events. For example, we recently observed that there was an increase in ischaemic heart disease death rates during the millennium celebration
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Heart 2006 92: 1513.[Extract] [Full Text] [PDF]
- Triggering of acute coronary syndromes by physical exertion and anger: clinical and sociodemographic characteristics
- P C Strike, L Perkins-Porras, D L Whitehead, J McEwan, and A Steptoe
Heart 2006 92: 1035-1040.[Abstract] [Full Text] [PDF]
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