The 24-hour distribution of silent ischemic events during continuous electrocardiographic monitoring parallels the circadian pattern of heart rate (HR) and systolic blood pressure (SBP). Note the simultaneous and significant increases in both the double product and silent ischemic events between 6:00 and 7:00 AM.
Data from: Deedwania PC, Nelson J. Circulation 1990; 82:1296.
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