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Management of Acute Coronary Syndromes pp 57–85Cite as

Triggers of Acute Coronary Syndromes

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Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

The likelihood that acute myocardial infarction (MI) is triggered by a specific event has been a subject of debate since the earliest description of this disorder, which incorporated the belief that specific physical or mental events precipitated the attack (1). Controversy over the precipitating events continued for decades (2–3), until 1960, when Master (4) published a retrospective study of over 2600 patients with acute MI (4). This study was the largest to address MI triggers up to that time. Although no formal statistical analysis was applied, it was concluded from the data that the onset was unrelated to physical effort, time of day, day of the week, or the occupation of the patient. In the last 15 years, as knowledge of the pathologic processes underlying acute coronary syndromes has advanced, the possibility of the existence of specific triggers for the onset of acute MI and related syndromes has been reconsidered.

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Authors
  1. Peter M. Sapin MD
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  2. James E. Muller MD
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Editors and Affiliations

  1. Cardiovascular Division, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA

    Christopher P. Cannon MD

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Sapin, P.M., Muller, J.E. (1999). Triggers of Acute Coronary Syndromes. In: Cannon, C.P. (eds) Management of Acute Coronary Syndromes. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-731-4_3

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  • DOI: https://doi.org/10.1007/978-1-59259-731-4_3

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