Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/21129
Title: Impact of Lunar Phase on Outcomes Following ST-Elevation Myocardial Infarction.
Authors: Segan, Louise;Brennan, Angela;Reid, Christopher M;Hiew, Chin;Oqueli, Ernesto;Ajani, Andrew;Clark, David J;Duffy, Stephen J;Yip, Thomas
Affiliation: School of Public Health, Curtin University.
Department of Cardiology, Alfred Hospital, Victoria, Australia
Department of Cardiology, Austin Health, Heidelberg, Victoria, Australia
Department of Cardiology, Royal Melbourne Hospital, Victoria, Australia
Department of Cardiology, Ballarat Base Hospital, Victoria, Australia
Department of Cardiology, Barwon Health, Victoria, Australia
Centre of Cardiovascular Research and Education in Therapeutics. Monash University, Victoria, Australia
Issue Date: 25-Jun-2019
EDate: 2019-06-25
Citation: Internal medicine journal 2019; online first: 25 June
Abstract: There is a long-held belief in the association between the full moon and extremes of human behaviour and adverse health consequences. Small-scale studies are conflicting, however most suggest no clear association between lunar phase and occurrence of acute coronary syndromes. We conducted a multi-centre retrospective study from the Melbourne Intervention Group registry, including 7,570 ST-elevation myocardial infarction (STEMI) cases from 6 tertiary centres over a 12-year study period in Victoria, Australia and performed statistical analysis using Stata software. Primary outcomes studied were the incidence of STEMI, the occurrence of major adverse cardiac and cerebrovascular events and mortality at 1 and 5 years in cases of ST-elevation myocardial infarction undergoing primary or rescue percutaneous coronary intervention during the full moon between 2005-2017 in Victoria, Australia. This study demonstrated no significant difference in STEMI incidence (p=0.61) nor of major adverse cardiovascular events across all lunar phases. Subgroup analysis confirmed no difference in outcomes during the full moon compared to a composite of other lunar phases. Kaplan-Meier survival estimates showed similar 30-day outcomes across lunar phases (p=0.35) and when comparing full moon to a composite of other lunar phases (p=0.45). Similarly, there was no significant difference in survival at 1 and 5 years between lunar phases (p=0.68) or compared to the full moon phase (p=0.51). This study showed no significant difference in the incidence or cardiovascular outcomes and survival in patients with ST-elevation myocardial infarction undergoing primary or rescue percutaneous coronary intervention during the lunar phases. This article is protected by copyright. All rights reserved.
URI: http://ahro.austin.org.au/austinjspui/handle/1/21129
DOI: 10.1111/imj.14413
ORCID: 0000-0001-5585-6146
0000-0002-4518-5948
PubMed URL: 31237407
Type: Journal Article
Subjects: MACCE
MACE
STEMI
cardiovascular outcomes
full moon
lunar phases
Appears in Collections:Journal articles

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