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Müller-Nordhorn J, Willich SN  
Triggering of acute coronary syndromes

Journal of Clinical and Basic Cardiology 2000; 3 (2): 73-79

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Fig. 1: Auslöser für akute Koronarsyndrome Fig. 2: Myokardinfarkt - Belastung Fig. 3: Myokardinfarkt - Wut - Ärger - Emotion Fig. 4: Plötzlicher Herztod - Erdbeben Fig. 5: Myokardinfarkt - Krieg Fig. 6: Myokardinfarkt - Tageszeit Fig. 7: Myokardinfarkt - wöchentliche Verteilung Last Image

Keywords: Koronares SyndromPathophysiologiePräventionTriggerUmweltcoronary syndromesenvironmentpathophysiologypreventiontriggers

External triggers including physical activity and emotional stress or rare events such as earthquakes may precipitate the onset of acute coronary syndromes. Circadian, weekly, and seasonal variations in coronary syndromes have also been observed. Furthermore, changes in the environment appear to play an important role. Triggering events probably result in the rupture of vulnerable coronary plaques via internal pathophysiological mechanisms. Appropriate preventive measures are needed in order to protect patients, particularly during vulnerable periods. J Clin Basic Cardiol 2000; 3: 73?9.
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