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Original Paper

Two-Peak Temporal Distribution of Stroke Onset in Greek Patients

A Hospital-Based Study

Spengos K.a · Vemmos K.N.b · Tsivgoulis G.a · Synetos A.b · Zakopoulos N.A.b · Zis V.P.a · Vassilopoulos D.a

Author affiliations

Departments of aNeurology, University of Athens School of Medicine, ‘Eginition’ Hospital and bClinical Therapeutics, University of Athens School of Medicine, ‘Alexandra’ Hospital, Athens, Greece

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Cerebrovasc Dis 2003;15:70–77

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: February 08, 2002
Accepted: May 10, 2002
Published online: January 08, 2003
Issue release date: January 2003

Number of Print Pages: 8
Number of Figures: 4
Number of Tables: 2

ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)

For additional information: https://www.karger.com/CED

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.

© 2003 S. Karger AG, Basel


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    External Resources
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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: February 08, 2002
Accepted: May 10, 2002
Published online: January 08, 2003
Issue release date: January 2003

Number of Print Pages: 8
Number of Figures: 4
Number of Tables: 2

ISSN: 1015-9770 (Print)
eISSN: 1421-9786 (Online)

For additional information: https://www.karger.com/CED


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