Two-peak temporal distribution of stroke onset in Greek patients

A hospital-based study

Konstantinos Spengos, Kostas N. Vemmos, Georgios Tsivgoulis, Andreas Synetos, Nikolaos A. Zakopoulos, Vassilios P. Zis, Demitris Vassilopoulos

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

A circadian distribution with a single peak of stroke onset in the morning hours has been described in various countries. Analysis of the temporal pattern of symptom onset in a series of 1,253 Greek first-ever stroke patients revealed a circadian distribution with two incidence peaks between 08.00 and 10.00 h, and between 16.00 and 18.00 h. Considering the different etiopathogenic types of stroke, the same two-peak time pattern was evaluated in all stroke subgroups with the only exception of lacunar stroke, which seems to predominantly occur during night and sleep. A secondary stroke onset peak in the late afternoon has not been previously described in such detail. A relation between the second, however lower, frequency peak and the traditional Greek habit of afternoon sleep (siesta) could be assumed and deserves further investigation. Copyright

Original languageEnglish (US)
Pages (from-to)70-77
Number of pages8
JournalCerebrovascular Diseases
Volume15
Issue number1-2
DOIs
StatePublished - Feb 3 2003
Externally publishedYes

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Stroke
Sleep
Lacunar Stroke
Habits
Incidence

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

Cite this

Spengos, K., Vemmos, K. N., Tsivgoulis, G., Synetos, A., Zakopoulos, N. A., Zis, V. P., & Vassilopoulos, D. (2003). Two-peak temporal distribution of stroke onset in Greek patients: A hospital-based study. Cerebrovascular Diseases, 15(1-2), 70-77. https://doi.org/10.1159/000067129

Two-peak temporal distribution of stroke onset in Greek patients : A hospital-based study. / Spengos, Konstantinos; Vemmos, Kostas N.; Tsivgoulis, Georgios; Synetos, Andreas; Zakopoulos, Nikolaos A.; Zis, Vassilios P.; Vassilopoulos, Demitris.

In: Cerebrovascular Diseases, Vol. 15, No. 1-2, 03.02.2003, p. 70-77.

Research output: Contribution to journalArticle

Spengos, K, Vemmos, KN, Tsivgoulis, G, Synetos, A, Zakopoulos, NA, Zis, VP & Vassilopoulos, D 2003, 'Two-peak temporal distribution of stroke onset in Greek patients: A hospital-based study', Cerebrovascular Diseases, vol. 15, no. 1-2, pp. 70-77. https://doi.org/10.1159/000067129
Spengos, Konstantinos ; Vemmos, Kostas N. ; Tsivgoulis, Georgios ; Synetos, Andreas ; Zakopoulos, Nikolaos A. ; Zis, Vassilios P. ; Vassilopoulos, Demitris. / Two-peak temporal distribution of stroke onset in Greek patients : A hospital-based study. In: Cerebrovascular Diseases. 2003 ; Vol. 15, No. 1-2. pp. 70-77.
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