title: Peak time of acute coronary syndrome in patients with sleep disordered breathing.
abstract: BACKGROUND
  Recently, sleep disordered breathing (SDB) has gained attention in the field of cardiology. Until now, no study describing the relationship between acute coronary syndrome (ACS) and SDB has been carried out in Japan.
  
  
  METHODS
  Among ACS patients admitted to our hospital, 44 patients (mean age 60.6+/-13.5 years) who received a portable polysomnography to measure apnea hypopnea index (AHI) were selected for this study. The circadian pattern of ACS onset was studied in 6-h intervals. In addition, all subjects were divided into three groups according to AHI severity (AHI < 5, 5 < or = AHI < 15, and 15 < or = AHI). Then, a comparative study between peak time of ACS and AHI severity was conducted for each group.
  
  
  RESULTS
  In the AHI < 5 group, 66.0% patients suffered from ACS between 12:00 h and 18:00 h and 17.0% between 18:00 h and 24:00 h, and a total of 83.0% patients had ACS between 12:00 h and 24:00 h. In the 5 < or = AHI < 15 group, 49.9% patients had ACS between 24:00 h and 06:00 h, 16.7% patients between 06:00 h and 12:00 h. 12:00-18:00 h and 18:00-24:00 h showed no significant difference. All 22 patients in the 15 < or = AHI group suffered from ACS between 24:00 h and 12:00 h.
  
  
  CONCLUSIONS
  The results of this study suggest a possible relationship between SDB and the onset of ACS between midnight to morning.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki 216-8511, Japan. ishibashi15@yahoo.co.jp
authors.forename: Yuki
authors.initials: Y
authors.lastname: Ishibashi
authors.forename: Naohiko
authors.initials: N
authors.lastname: Osada
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Sekiduka
authors.forename: Masaki
authors.initials: M
authors.lastname: Izumo
authors.forename: Takashi
authors.initials: T
authors.lastname: Shimozato
authors.forename: Akio
authors.initials: A
authors.lastname: Hayashi
authors.forename: Keisuke
authors.initials: K
authors.lastname: Kida
authors.forename: Kihei
authors.initials: K
authors.lastname: Yoneyama
authors.forename: Eiji
authors.initials: E
authors.lastname: Takahashi
authors.forename: Kengo
authors.initials: K
authors.lastname: Suzuki
authors.forename: Masachika
authors.initials: M
authors.lastname: Tamura
authors.forename: Yoshihiro J
authors.initials: YJ
authors.lastname: Akashi
authors.forename: Koji
authors.initials: K
authors.lastname: Inoue
authors.forename: Kazuto
authors.initials: K
authors.lastname: Omiya
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Miyake
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Izawa
authors.forename: Satoshi
authors.initials: S
authors.lastname: Watanabe
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000503:physiopathology*; D002940:Circadian Rhythm; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017286:Polysomnography; D012891:Sleep Apnea Syndromes / Q000150:complications / Q000503:physiopathology*; D013995:Time