A study found that the beginning of the work week is more likely to have a serious heart attack than at any other time. Researchers from the Belfast Health and Social Care Trust and the Royal College of Surgeons of Ireland analyzed data from 10,528 patients in Ireland who were admitted to hospital for the most severe heart attacks between 2013 and 2018. This is known as an ST-segment elevation myocardial infarction (STEMI) and occurs when a major coronary artery is completely blocked.
The study, presented at the British Cardiovascular Society (BCS) conference in Manchester, UK, found a spike in the rate of STEMI heart attacks at the start of the work week, with rates peaking on Mondays. Sunday had a higher-than-expected rate of STEMIs, the researchers said.
Professor Nilesh Samani, medical director of the British Heart Foundation, said: “This study adds to the evidence about the timing of particularly serious heart attacks, but we now need to unpack what it is about specific days of the week that make them more likely.” “Doing this can help doctors better understand this deadly condition so we can save more lives in the future,” Samani said.
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Scientists still cannot fully explain why this “Blue Monday” phenomenon occurs. Previous research has suggested that Mondays are more likely to have a heart attack with circadian rhythms – highlighting a relationship with the body’s sleep or wake cycle.
There are over 30,000 hospital admissions due to STEMI in the UK each year. It requires urgent evaluation and treatment to minimize damage to the heart, and is usually performed with emergency angioplasty – a procedure to reopen a blocked coronary artery.
Jack Laffan, who led the study at Belfast Health and Social Care Trust, said: “We found a strong statistical association between the start of the working week and the incidence of STEMI. This has been described before but remains a curiosity.”
“The cause is likely multifactorial, but based on what we know from previous studies, it is reasonable to hypothesize a circadian component,” Laffan added.
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