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“I don't like Mondays”—day of the week of coronary heart disease deaths in Scotland: study of routinely collected data

BMJ 2000; 320 doi: (Published 22 January 2000) Cite this as: BMJ 2000;320:218
  1. Christine Evans, specialist registrar in public health medicinea,
  2. James Chalmers, consultant in public health medicine (,
  3. Simon Capewell, senior lecturerb,
  4. Adam Redpath, principal statisticiana,
  5. Alan Finlayson, senior health information scientista,
  6. James Boyd, senior health information scientista,
  7. Jill Pell, honorary clinical senior lecturerc,
  8. John McMurray, professord,
  9. Kate Macintyre, medical epidemiologistb,
  10. Lesley Graham, senior clinical medical officera
  1. a Information and Statistics Division, National Health Service in Scotland, Trinity Park House, Edinburgh EH5 3SQ
  2. b Department of Public Health, University of Glasgow, Glasgow G12 8RZ
  3. c Department of Cardiology, University of Glasgow, Glasgow Royal Infirmary, Glasgow G31 2ER
  4. d Department of Cardiology, University of Glasgow, Western Infirmary, Glasgow G12 8QQ
  1. Correspondence to: J Chalmers
  • Accepted 6 October 2000

A recent study in Moscow reported higher cardiovascular mortality on Saturdays, Sundays, and Mondays and linked this to the Russian pattern of binge drinking.1 Other studies have reported an increased risk of cardiac events on Mondays, a peak on other days, or no significant weekly variation.2 We investigated the patterns of death from coronary heart disease by day of the week in the Scottish population and explored possible links with patterns of alcohol consumption.

Subjects, methods, and results

Data linking all hospital discharges and deaths were obtained from the Scottish Morbidity Record and General Register Office (Scotland)respectively for all Scottish residents dying in 1986-95for whom coronary heart disease (ICD-9 (international classification of diseases, 9th revision) codes 410-414) was the principal cause of death. Information was obtained on whether death occurred in hospital and whether subjects had been admitted to hospital with coronary heart disease since 1981. People dying in Scotland from …

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