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Brief Report
JAMA. 1980;244(12):1357-1358. doi: 10.1001/jama.1980.03310120045023

Chronobiology of Cardiac Sudden Death in Men

  1. Simon W. Rabkin, MD, FRCP(C), FACC;
  2. Francis A. L. Mathewson, MD, MACP, FACC;
  3. Robert B. Tate, MSc
  1. From the University of Manitoba Follow Up Study, Departments of Medicine (Section of Cardiology) (Drs Rabkin and Mathewson) and Social and Preventive Medicine (Dr Rabkin), University of Manitoba, Winnipeg. Mr Tate is a member of the University of Manitoba Follow Up Study.

Abstract

Daily variation in occurrence of sudden cardiac death was examined in 3,983 men observed since 1948. For men without previous clinical evidence of ischemic heart disease, an excess proportion of sudden cardiac deaths occurred on Mondays. For men with previous clinical evidence of ischemic heart disease, sudden cardiac death occurred more uniformly throughout the week. By comparison there was no significant daily variation in cancer mortality or in day of occurrence of myocardial infarction. Thus, for men without clinically manifest heart disease, the warning "beware on Monday" should stimulate further investigation.

(JAMA 244:1357-1358, 1980)

Footnotes

  • Reprint requests to Manitoba Follow Up Study, 770 Bannatyne Ave, Winnipeg, Manitoba, Canada R3E 0W3 (Dr Rabkin).

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