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  1. Aida Suárez-Barrientos1,
  2. Borja Ibanez1,2
  1. 1Coronary Care Unit, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain
  2. 2Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain
  1. Correspondence to Dr Borja Ibanez, Imaging in Experimental Cardiology Laboratory, Atherothrombosis and Imaging Department, Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), c/Melchor Fernández Almagro, 3, Madrid 28029, Spain; bibanez{at}

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The Authors' reply We appreciate the letter from Simon N Thornton entitled ‘Overnight dehydration increases the risk of a morning infarct’, proposing an association between dehydration and ischaemic events.1 He suggests that it would have been of interest to consider hydration status on admission in our recently published paper on the circadian variations of necrotic size in patients with myocardial infarction.2

As Thornton mentions, during the night period, due to the lack of fluid intake, there …

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  • Linked article 300325.

  • AS-B and BI contributed equally.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Commissioned; internally peer reviewed.

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