Circadian Variation In The Onset Of Acute Mycocardial Infraction In Kashmir - -S.A. Tabish, A.M. Bhat,

Opening of the article

A prospective observational study of two hundred patients of acute myocardial infarction admitted in Accident &Emergency Department and the Coronary Care Unit of a premier hospital, Sher-e-Kashmir Institute of Medical Sciences, Srinagar, India was carried out to determine the time of onset of chest pain and whether onset of myocardial infarction “ Occurs randomly or observes circadian variation in the frequency of its onset” 50% of the patients developed infarction between 4 am to 10 am with anterior ST elevation myocardial infarction in 50% Second peak of 22% was observed from 4 pm to 10 pm as compared to trough 100/0 between 10 pm to 4 am.