@Article{Turker2012,
journal="Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej",
issn="1734-9338",
volume="8",
number="3",
year="2012",
title="Original paperThe effect of Ramadan fasting on circadian variation of Turkish patients with acute myocardial infarction",
abstract=" Introduction:  The mechanisms of circadian variation in cardiovascular events are not clear.    Aim:  Evaluation of the effect of Ramadan fasting on circadian variation of acute ST-elevation myocardial infarction (STEMI) in Turkish patients.   Material and methods:  This comparative cross-sectional study included 151 consecutive patients with acute STEMI. The time of onset of STEMI was determined by the attending physician on the basis of patients’ self-reports. The patients were divided into two group based on the history of fasting. The standard hourly profile of the onset of STEMI was obtained over a 24-h period. Patients were then categorized into four 6-hour increments according to the time that the symptoms began (00:00–05:59; 06:00–11:59; 12:00–17:59 and 18:00–23:59 h).   Results : In all study participants, the highest incidence of STEMI was between 12.00 and 18.00; the odds ratio was 2.77 (95% CI: 2.63–2.92, p < 0.001). In the non-fasting group, the highest incidence of STEMI occurred between 06:00 and 12:00 A.M. The highest incidence of AMI occurred between 12.00 A.M. and 18.00 in patients with fasting; the odds ratio was 2.70 (95% CI: 2.51–2.91, p < 0.001). There were significant differences between fasting and non-fasting groups regarding circadian variation of STEMI (p < 0.001).    Conclusions : There are significant changes in the circadian variation of patients with STEMI in relation to Ramadan fasting.",
author="Turker, Yasin
and Aydin, Mesut
and Aslantas, Yusuf
and Ozaydin, Mehmet
and Uysal, Bayram Ali
and Bulur, Serkan
and Erden, Ismail
and Albayrak, Sinan
and Ozhan, Hakan",
pages="193--198",
doi="10.5114/pwki.2012.30398",
url="http://dx.doi.org/10.5114/pwki.2012.30398"
}