Triggers and the onset of acute myocardial infarction.
The onset of acute myocardial infarction (AMI) is a complex interplay of internal circadian factors and external physical and emotional triggers. These interactions may lead to rupture of an often nonocclusive vulnerable atherosclerotic coronary plaque with subsequent formation of an occlusive thrombus. The onset of AMI has a distinct pattern, with peak incidence within the first few hours after awakening, on certain days of the week, and in the winter months. Physical and emotional stresses are important triggers of acute cardiovascular events including AMI. Triggering events, internal changes, and external factors vary among different geographical, environmental, and ethnic regions. Life-style changes, pharmacotherapy, and psychologic interventions may potentially modify the response to, and protect against the effects of triggering events.Outgoing far-right senator Fraser Anning has implored the Queen not to rescind a Queen’s Birthday honour on one of his failed election candidates, who is also a robot sex expert, saying doing so would be like sending him to jail.

There has been some criticism levelled against the decision to bestow Adelaide-born professor Adrian Cheok an Order of Australia honour earlier this year after it was revealed he shared a crude joke about Labor Senate leader Penny Wong on social media and ran as a candidate for Mr Anning’s Conservative National Party.

Senator Anning, whose term is due to expire on 30 June, was widely condemned for calling for a “final solution” to Muslim immigration and blaming Muslims for the Christchurch mosque massacres.

Mr Cheok, who chairs the Love and Sex