Eur J Intern Med. 2016 Jan;27:e5-6. Fournier S, Muller O. We read with interest the recent publication of Rallidis et al  reporting the circadian pattern of symptoms onset in patients presenting with ST-segment elevation myocardial infarction (STEMI). Authors should be commended for their work where they succeed to report a total of 256 patients being < 35 years old.In this interesting study, the authors conclude that there is a significant circadian pattern in symptoms onset with an observed morning peak. They conclude that this information might be useful for a prompt diagnosis and aggressive treatment in this particular subgroup of very young STEMI patients where clinical presentation is frequently atypical. In this regard, we woud like to discuss a few points.
- Fournier S1, Muller O2. Circadian aspects of myocardial infarction among young STEMI patients. Eur J Intern Med. 2016 Jan;27:e5-6. PMID: 26297336.