Narrative review of sleep and stroke

Pérez-Carbonell, Laura; Bashir, Saima

doi:10.21037/jtd-cus-2020-002

Cited by 22 publications

(13 citation statements)

References 144 publications

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“…Finally, it has been established that glymphatic clearance is primarily active during sleep ( Shokri-Kojori et al, 2018 ; Holth and Fritschi, 2019 ). Coincidentally, most stroke patients suffer from circadian rhythm disorders ( Pérez-Carbonell and Bashir, 2020 ). Therefore, it is not clear whether improving the sleep quality of stroke patients is an effective approach to promoting recovery.…”

Section: Discussionmentioning

confidence: 99%

The Glymphatic System: A Novel Therapeutic Target for Stroke Treatment

Zhao

et al. 2021

Front. Aging Neurosci.

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The glymphatic system (GS) is a novel defined brain-wide perivascular transit network between cerebrospinal fluid (CSF) and interstitial solutes that facilitates the clearance of brain metabolic wastes. The complicated network of the GS consists of the periarterial CSF influx pathway, astrocytes-mediated convective transport of fluid and solutes supported by AQP4 water channels, and perivenous efflux pathway. Recent researches indicate that the GS dysfunction is associated with various neurological disorders, including traumatic brain injury, hydrocephalus, epilepsy, migraine, and Alzheimer’s disease (AD). Meanwhile, the GS also plays a pivotal role in the pathophysiological process of stroke, including brain edema, blood–brain barrier (BBB) disruption, immune cell infiltration, neuroinflammation, and neuronal apoptosis. In this review, we illustrated the key anatomical structures of the GS, the relationship between the GS and the meningeal lymphatic system, the interaction between the GS and the BBB, and the crosstalk between astrocytes and other GS cellular components. In addition, we contributed to the current knowledge about the role of the GS in the pathology of stroke and the role of AQP4 in stroke. We further discussed the potential use of the GS in early risk assessment, diagnostics, prognostics, and therapeutics of stroke.

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Section: Discussionmentioning

confidence: 99%

The Glymphatic System: A Novel Therapeutic Target for Stroke Treatment

Zhao

et al. 2021

Front. Aging Neurosci.

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“…Based on the results of this study, it is necessary to screen the sleep duration and sleep disorder-related variables in the high-risk stroke population. A pre-existing sleep disorder can increase the risk of stroke, and intervening may focus on interventions for cardiovascular, metabolic, and inflammatory changes [ 32 ]. Stroke, in turn, promotes the development of sleep disorders.…”

Section: Discussionmentioning

confidence: 99%

Association Between Sleep Duration and Sleep Disorder Data from the National Health and Nutrition Examination Survey and Stroke Among Adults in the United States

Wang¹,

Ren²

2022

Med Sci Monit

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Background We aimed to explore the association between sleep duration and sleep disorder variables obtained from the National Health and Nutrition Examination Survey (NHANES) and stroke. Material/Methods This cross-sectional study enrolled 10 442 participants from the United States. The outcome variable was stroke diagnosed by a doctor. Sleep disorder variables were assessed via self-report questionnaires and included sleep duration, the time required to fall asleep, frequency of sleep deprivation, frequency of early morning wakefulness, and frequency of middle of the night wakefulness. The odds ratio (OR) and 95% confidence intervals (CIs) were calculated by multivariate logistic regression models. Results Compared with participants with 6 to 7 h of sleep duration, participants with less than 6 h of sleep duration had an increased risk of stroke of 0.97 times (OR=1.97, 95% CI: 1.19–3.29). Participants with a sleep disorder had 0.71 times (OR=1.71, 95% CI: 1.04–2.82) the risk of stroke than those without a sleep disorder. Stroke was significantly associated with sleep deprivation 16 to 30 times a month (OR=1.99, 95% CI: 1.14–3.46), early morning wakefulness 16 to 30 times a month (OR=1.97, 95% CI: 1.20–3.25), and middle of the night wakefulness 16 to 30 times a month (OR=1.81, 95% CI: 1.05–3.09), compared with no sleep deprivation, early-morning wakefulness, or middle of the night wakefulness. Conclusions Short sleep duration and sleep disorder were associated with an increased risk of stroke, suggesting healthy sleep behaviors may reduce the risk of stroke. However, further studies are needed to confirm the causality and underlying mechanism.

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“…By using PSQI questionnaire for sleep quality evaluation it was concluded that 32.3% of unstable/stable patients and 24.4% of MI patients had sleep problems. In general population the prevalence of insomnia was reported in about 6 to 15% (21) whereas the insomnia is not a rare condition following stroke (22). Furthermore, insomnia is already present before the myocardial infarction happens in many patients (23).…”

Section: Discussionmentioning

confidence: 99%

The Role of Sleep Quality and Mental Health in Cardiovascular Disease

Harami¹,

Seif²,

Ali³

et al. 2021

PJMHS

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Objectives: Cardiovascular diseases (CVDs) may accompany other diseases. Of which can name sleep disorders and also other psychiatric disorders. Aim: In current study we evaluate the concomitant mental health disorders and the sleep quality among the acute myocardial infarction (AMI) and acute coronary syndrome (ACS) patients. Method:180 cases were selected through random sampling. 90 of the cases were hospitalized because of acute myocardial AMI and 90 patients were admitted with the diagnosis of ACS. Demographic, GHQ 28 and PSQI questionnaire was applied to evaluate the demographic features, psychological wellbeing and sleep quality subsequently. Results: 57.8% of cases were women 42.2% were men. The age range was 27 75 years old and the mean age was 49.93+11.73years old. 87.8% of the patients were married and rest were single. The mean score for the GHQ 28 questionnaire was22.43+10.99in patients with angina and in AMI patients.38.8% of ACS patients and 50% of AMI patients didn’t feel well psychologically. The mean score for sleep quality in ACS patients was 3.08+3.6 and 4.06+3.8 in AMI patients. 32.3% of ACS cases and 24.4% of AMI cases had troubles in sleeping. Conclusion: The mental health disorders prevail in AMI and ACS patients. Furthermore, the poor sleep quality was correlated with mental health disorders. Keywords: Sleep Wake Disorders, Mental Health, Acute Coronary Syndrome, Myocardial Infarction

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Narrative review of sleep and stroke

Cited by 22 publications

References 144 publications

The Glymphatic System: A Novel Therapeutic Target for Stroke Treatment

The Glymphatic System: A Novel Therapeutic Target for Stroke Treatment

Association Between Sleep Duration and Sleep Disorder Data from the National Health and Nutrition Examination Survey and Stroke Among Adults in the United States

The Role of Sleep Quality and Mental Health in Cardiovascular Disease

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