Copyright © 1992 by the European Society of Cardiology.
© 1992 The European Society of Cardiology
Sudden death from pulmonary thromboembolism: Chronobiological aspects
*Institute of Internal Medicine U.S.L. 31-Ferrara, Regione Emilia Romagna, Italy
Institute of Pathological Anatomy, Histology and Cytology, University of Ferrara and Emergency Department U.S.L. 31-Ferrara, Regione Emilia Romagna, Italy
Cardiology Division of St Anna Hospital U.S.L. 31-Ferrara, Regione Emilia Romagna, Italy
Received 12 October 1990; revised 27 March 1991; .
Correspondence Massimo Gallerani MD, Emergency Department, St Anna Hospital, U S.L. 31—Ferrara, Corso Giovecca 203, 44100 Ferrara, Italy.
Abstract
The aim of this study was to determine whether sudden cardiac death from pulmonary embolism exhibits any chronobiological rhythm. Five hundred and seven consecutive subjects dying suddenly outside of hospital and brought into our Emergency Department from January 1983 to December 1989 were studied. The time and date of event were accurately recorded. All subjects underwent autopsy and 48 of them were found to have died of pulmonary embolism (23 males, mean age 73.9 ± 8 years and 25 females, mean age 76 ± 12 years). All data were analysed by means of single cosinor(19.20). In the subjects with pulmonary emboliboth a circadian and a circannual rhythmicity were found, with a significant acrophase respectively in the morning (h.min. 11.46, P = 0.003) and in winter (–19.3, P = 0.009).
Key Words: Pulmonary embolism • circadian rhythm • circannual rhythm
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