There is growing evidence that the onset of acute myocardial infarction (AM
I) is related to numerous endogenous and exogenous daily rhythms. AMI may o
ccur at any time of day, but peak incidence occurs during the morning.(1-5)
The morning increase in adrenergic activity, hormone levels, and coagulabi
lity could create a transient risk state, and thus precipitate AMI.(6-11) S
ome daily activities or unusual events produce similar physiologic response
s and it is currently accepted that physical exertion, mental stress, and o
ther conditions may trigger AMI.(1,2,4,12-17) We have reported that infarct
ions of anterior and inferior wall may have different typical triggers.(1)
In this study, we report on the role of gender in triggering AMI.