Experimental and clinical chronocardiology.
Recent advances of the chronobiologic approach to experimental and clinical cardiology was reviewed. First, the maximum entropy method (MEM) was introduced as one of the statistical methods analyzing the circadian periodicity. The MEM power spectrum showed a remarkable resolution property. It will play an important role in chronocardiology in cooperation with the cosinor method. Secondly, recent investigations of the relationship between sleep states and cardiac arrhythmias were mentioned from the viewpoints of both experimental and clinical chronocardiology. Next, recent remarkable advance on myocardial ischemia was reviewed. A marked circadian rhythm in the frequency of myocardial infarction onset and sudden cardiac death has been observed. Lastly, a reference has been made to the recent development of ambulatory BP monitoring. A chronobiologic approach to the analysis of time-series data in cardiology will lead to many advantages in clinical practice.
Department of Medicine, Tokyo Women's Medical College, Daini Hospital, Japan.
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Otsuka
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Watanabe
D000818:Animals; D001145:Arrhythmias, Cardiac / Q000503:physiopathology; D001794:Blood Pressure / Q000502:physiology; D002320:Cardiovascular Physiological Phenomena; D002940:Circadian Rhythm / Q000502:physiology*; D003327:Coronary Disease / Q000503:physiopathology; D006801:Humans; D008027:Light; D009422:Nervous System Diseases / Q000503:physiopathology; D012894:Sleep Stages / Q000502:physiology; D013493:Suprachiasmatic Nucleus / Q000503:physiopathology