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Heart 92:1035-1040 doi:10.1136/hrt.2005.077362
  • Cardiovascular medicine

Triggering of acute coronary syndromes by physical exertion and anger: clinical and sociodemographic characteristics

Table 5

 Comparison of patients with physical exertion and anger triggers

Exertion trigger (n = 22) Anger trigger (n = 40) p Value
GRACE, Global Registry of Acute Coronary Events; NSTEMI, non-ST elevation myocardial infarction; STEMI, ST elevation myocardial infarction; UA, unstable angina.
Proportion of men 20 (90.9%) 31 (77.5%) 0.30
Age (years) 59.5 (11.2) 56.9 (11.6) 0.40
Deprivation index
    Low 15 (68.2%) 12 (30.0%) 0.002
    Medium 5 (22.7%) 12 (30.0%)
    High 2 (9.1%) 16 (40.0%)
Timing of onset
    00 00–06 00 0 6 (15.0%) 0.006
    06 00–12 00 6 (27.3%) 12 (30.0%)
    12 00–18 00 14 (63.6%) 11 (27.5%)
    18 00–24 00 2 (9.1%) 11 (27.5%)
Premonitory symptoms present 2 (9.1%) 18 (45.0%) 0.004
Current smoker 11 (50.0%) 19. (47.5%) 0.85
Diabetes 5 (22.7%) 7 (17.5%) 0.74
Hypertension 6 (27.3%) 22 (55.0%) 0.061
Previous myocardial infarction 3 (1.6%) 4 (10.0%) 0.69
Troponin T quartile (n = 52) (µg/l)
    1 (<0.56) 2 (10.5%) 8 (24.2%) 0.034
    2 (0.56–1.85) 4 (21.1%) 7 (21.2%)
    3 (1.86–5.50) 1 (5.3%) 9 (27.3%)
    4 (>5.50) 12 (63.2%) 9 (27.3%)
Acute coronary syndrome type
    NSTEMI/UA 5 (22.7%) 8 (21.1%) 0.28
    Non-Q STEMI 4 (18.2%) 14 (36.8%)
    Q wave STEMI 13 (59.1%) 16 (42.1%)
No of vessels diseased 1.56 (0.9) 1.80 (0.9) 0.33
GRACE risk score 102.1 (28.8) 85.1 (27.4) 0.034

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